You respond to a call for a patient in active labor with her second child. your interview with the patient shows that she is 40 weeks pregnant and has been in active labor for several hours. you determine that her vital signs are all within normal limits. after your physical exam, you determine the baby is crowning. you should next:

Prepare to deliver the baby on-scene.

Explanation:

Birth crowning is a condition occurs during the period of gestation. In this baby's head starts emerging after each contraction from the birth canal after the second stage of labor. In this process the uterine muscle relaxes and tightens to help the newborn to come out of the birth canal.

According to the given condition, a preparation of delivery of the baby on the scene is preferred to avoid the negligence and delay. To protect the life of mother and child early action is required.

affects the water bodies: excessive use of fertilizers causes eutrophication. the fertilizers which are used on plants affect the quality of land on which it is used, further causing erosion of soil. the fertilizers used on plants contain harmful chemical fumes which affect the environment.