CNM Certified Nurse Midwife

Answer: B - The most appropriate action by the nurse midwife before an external version is to administer a tocolytic agent. Tocolytics, such as tertbutaline, may be administered through the subcutaneous route to relax the uterus and to allow easier manipulation. External version is the manipulation of the fetus from an abnormal position to a good presentation. This is done after the 34^th week of gestation. A non-stress test is ordered to determine fetal well-being. The blood pressure is monitored for vena cava compression. The nurse midwife ensures that the client had a RhoGAM during the 28^th week.