A young adolescent is transferred to the labor and delivery unit from the emergency department. The patient is in active labor but did not know that she was pregnant. The most important nursing action is to:

Question

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Assessing the patient's blood pressure and checking for proteinuria is important to monitor for signs of preeclampsia, which can be life-threatening. While determining the father of the baby and discussing adoption may be important, they are not the most critical actions in this situation. Asking the patient about her birthing experience preferences can be done after ensuring the safety and well-being of the patient and baby.

A Young Adolescent Is Transferred to the Labor and Delivery