Artificial rupture of membranes

Carla Hernandez is a 32-year-old female, G2P1 (L1), at 39 5/7 weeks of gestation. She was admitted to labour and delivery in active labour at 0600 hours today, accompanied by her husband Earl.

To progress the delivery, an artificial rupture of membranes was performed by the provider a few minutes ago. The provider has just left the room to make rounds.

Suddenly, the fetal heart rate drops dramatically, and you discover that the umbilical cord is prolapsed. You are ready to handle this situation with another nurse who is also present in the room.