The nurse is caring for a client in active labor who states, "I think my water just broke!" The fetal heart rate shows a prolonged variable deceleration to 80 beats per minute. The nurse performs a sterile vaginal exam and feels a pulsating cord in the vaginal canal.

What are the nurse's priority interventions? Select all that apply.

1. Move the client's bed into Trendelenburg position.
2. Keep fingers in the vagina to keep pressure off of the cord.
3. Clip any hair from the surgical site.
4. Have the anesthetist insert an epidural for pain control.
5. Have the patient's family call for help.
6. Insert an indwelling catheter to empty the patient's bladder.