A multiparous client at term is in active labor with intact membranes. A Leopold maneuver indicates the fetus is in a transverse lie with a shoulder presentation. What healthcare provider order is most important?

Question

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The most important healthcare provider order is to alert the surgical team of urgent cesarean. A transverse lie with a shoulder presentation is a medical emergency that requires immediate intervention to avoid the risks associated with vaginal delivery, such as fetal injury and maternal hemorrhage. Artificially rupturing membranes or applying internal fetal scalp electrodes could be dangerous to the fetus in this situation. While monitoring maternal blood pressure is important in any labor scenario, it is not the most pressing concern in a transverse lie with shoulder presentation.

A Multiparous Client at Term Is in Active Labor with Intact