What is an important consideration for a nurse when a client presents with a breech presentation during labor?

When a client presents with a breech presentation during labor, an important consideration for the nurse is the potential need for an immediate referral for cesarean section. Breech presentations, where the fetus is positioned with the buttocks or feet closest to the birth canal, can pose significant risks during vaginal delivery, including umbilical cord compression, traumatic injury to the fetus, and difficulties with the delivery of the fetal head.

In cases where a fetus is in a breech position late in labor, the likelihood of complications increases, making a cesarean delivery a safer option for both the mother and the infant. This is especially critical if the maternal and fetal conditions do not favor a vaginal delivery. Therefore, recognizing the breech presentation as an indicator for possible surgical intervention is crucial for the nurse to ensure the safety of both the mother and the baby.

Other options, such as continuous fetal monitoring, may be part of care; however, they do not directly address the potential hazards associated with breech presentation. While administration of tocolytics is relevant in managing preterm labor, it is not indicated in the context of a breech presentation during labor. Encouraging a vaginal birth attempt in cases of breech presentation carries significant risks and is generally not