The laboring client is having moderately strong contractions lasting 60 seconds every 3 minutes. The fetal head is presenting at a -2 station. The cervix is 6 c m and 100% effaced. The membranes spontaneously ruptured prior to admission, and clear fluid is leaking. Fetal heart tones are in the 140s with accelerations to 150. Which nursing action has the highest priority?

Question

Quizplus · Accepted Answer

Given the situation described, keeping the client on bed rest is the highest priority. The client's membranes have ruptured, increasing the risk of infection and potentially complicating the labor process. Bed rest can help manage these risks and support the progression of labor under close monitoring. The other options, while potentially valuable in certain contexts, do not address the immediate concerns related to the laboring process and the risk of infection following membrane rupture.

The Laboring Client Is Having Moderately Strong Contractions Lasting 60