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What should be done if the amniotic sac is not broken during delivery?

  1. Puncture the sac and pull it away from the baby's face

  2. Immobilize the sac and pull it away from the baby's face

  3. Wait for EMS

  4. Call for additional medical assistance

The correct answer is: Puncture the sac and pull it away from the baby's face

If the amniotic sac is not broken during delivery, it is crucial to ensure that it does not obstruct the baby's passage and to facilitate the baby's delivery without additional complications. Puncturing the sac allows for the release of the amniotic fluid, which can help reduce pressure on the baby's head and promote more effective contractions, aiding the delivery process. This approach can also prevent potential issues that could arise from a full sac, such as the risk of cord prolapse or distress for the baby. Addressing the position of the sac by pulling it away from the baby's face after puncturing it helps to clear the airway and create a safer environment for the newborn. Therefore, puncturing the sac is considered an essential intervention in this scenario. Other options, such as immobilizing the sac or waiting for EMS, may not provide the immediate assistance needed to facilitate the safe delivery of the baby or could lead to complications if the delivery is delayed.