A 42-year-old woman is 38 weeks pregnant and in active labor…

A 42-year-old woman is 38 weeks pregnant and in active labor. While assessing for crowning, you notice that although the top of the baby’s head is visible, a loop of the umbilical cord is protruding from the vagina. Which is the most appropriate initial intervention? 

You are called to the scene of a MVC involving a female who…

You are called to the scene of a MVC involving a female who is 9 months pregnant and in labor. She has a laceration to her radial artery and you have controlled the bleeding. Her pulse is 98, respirations are 26,  blood pressure is 100/70, her skin is pale, and she is anxious. Which of the following is your primary concern?