What are the ONLY indications for placing your gloved fingers in the vagina during delivery?

The placement of gloved fingers in the vagina during delivery is a critical skill that should only be performed in certain situations where maternal or fetal conditions may necessitate immediate action. The correct choice highlights two specific scenarios: a breech presentation and a prolapsed umbilical cord.

In the case of a breech presentation, where the fetus is positioned with the buttocks or feet coming out first, the healthcare provider may need to assist the delivery process to prevent complications. For example, if the head is stuck, gloved fingers can be used to facilitate its delivery or to create space for the baby's airways.

Additionally, when a prolapsed umbilical cord occurs, this is a life-threatening situation where the umbilical cord slips ahead of the presenting part of the fetus, which can lead to cord compression and fetal distress. In such instances, placing fingers in the vagina can allow the provider to lift the presenting part off the cord, alleviating pressure and helping to maintain blood flow and oxygen delivery to the fetus.

Understanding this context is essential in recognizing why direct vaginal intervention is limited to these scenarios, as risks of trauma, infection, or further complications could arise from unnecessary vaginal examinations during delivery.