If the presenting part during childbirth is not the head, what should you do?

• A. Reassess fetal heart rate and wait
• B. Immediately begin transport to the nearest OB receiving facility
• C. Apply traction to the cord
• D. Attempt to rotate the presenting part

Answer: (B)

When the presenting part is not the head, the safest action is to transport the mother to an obstetric facility as quickly as possible. Non-head presentations (like breech or other malpresentations) carry higher risks for both mom and baby and usually require specialized obstetric care, including the possibility of cesarean delivery and neonatal support. Do not manipulate or try to deliver, such as applying traction to the cord or rotating the presenting part, because these actions can cause trauma, worsen the situation, or delay definitive care. Instead, monitor the mother and fetal status if possible and get to a facility where trained personnel can manage the delivery safely.