If the amniotic sac is intact as the baby emerges, what should you do?

When the amniotic sac is still intact as the baby emerges during childbirth, it is crucial to ensure that the baby's airway is clear to facilitate breathing. Tearing the amniotic sac and clearing it away from the baby's nose and mouth helps prevent suffocation or distress caused by fluid obstructing the airway.

In this situation, using a gloved hand to tear the sac ensures that the baby can breathe as soon as possible. This step is essential in providing immediate care and prevents potential complications associated with an unbroken sac, such as the baby being unable to breathe properly when born.

The other options do not address the critical need to clear the baby’s airway. Waiting for the mother to push does not resolve the issue with the intact sac. Delivering the baby without intervention would leave the infant vulnerable to respiratory distress. Monitoring the heart rate alone does not address the immediate need for ensuring the airway is clear, which is a primary concern when the amniotic sac hasn't ruptured.