Which of the following clinical assessments or interventions is required before performing an amniotomy? (Select all that apply.)
Answer
Confirming that the fetal presenting part is engaged
Explanation
The slides call for FHR recording before and after amniotomy and a pelvic examination to assess the cervix and presenting-part station. The head should be engaged and the presenting part well applied to the cervix. Proceeding without assessment is contrary to these precautions.
**Key takeaway:** Confirm fetal status and a well-applied, engaged presenting part before amniotomy.
**Glossary:** **Station**: the presenting part's level relative to the maternal pelvis. **Engaged**: the presenting part has entered the pelvic inlet.