A client at 40 weeks' gestation comes to the facility after having a gush of clear of vaginal discharge, which occurs with contractions. The client is admitted to the unit after true labor is determined and the interventions have started. Which of the following is the priority action of the nurse midwife?

Question

Quizplus · Accepted Answer

The priority action of the nurse midwife is to attach an external electronic fetal monitor. The client's amnion membranes have ruptured, which require assessment of the fetal heart tone. An L/S ratio is not necessary because it is not a priority action when managing a client who is in labor at 40 weeks' gestation. An L/S ratio test may be ordered if the labor needs to be augmented. Amniotomy is not necessary because the membranes have ruptured. The frequency of the contractions should be monitored, but it is not a priority action for the nurse midwife.

A Client at 40 Weeks' Gestation Comes to the Facility