A nurse is caring for a client who is in the first stage of labor with report of ruptured membranes prior to admission to the labor unit. The nurse observes the fetal heart rate changes baseline from 150/min to 110/min. during a vaginal exam. The nurse notes a pulsation at the cervix. Which of the following actions should the nurse perform first? Push the cord back into the cervical os Prepare the woman for immediate vaginal birth Place the client in the supine position Insert a gloved hand into the vagina to lift the presenting part off of the cord.

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