The priority nursing intervention following an amniotomy is to:
A) change the client's gown.
B) assess the fetal heart rate.
C) assess the color of the amniotic fluid.
D) estimate the amount of amniotic fluid.

Question

Quizplus · Accepted Answer

The fetal heart rate must be assessed immediately after the rupture of the membranes to determine whether cord prolapse or compression has occurred. Changing the gown is important for client comfort but is not the top priority. Assessing the amount of amniotic fluid is important but is not the top priority. Estimating the amount of amniotic fluid is not a top priority for this client.

The Priority Nursing Intervention Following an Amniotomy Is To