A primigravida is pushing with contractions. The nurse notes that the woman's perineum is beginning to bulge and that there is an increase in bloody show. Which of the following actions by the nurse is appropriate at this time?

Report the findings to the woman's health care provider.

Place the client on her side with oxygen via face mask.

Immediately assess the woman's pulse and blood pressure.

Monitor the fetal heart rate every 60 minutes.

Prepare for imminent delivery of the newborn.