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The Nurse Is Monitoring a Client in Labor Whose Membranes

Question 44

Multiple Choice

The nurse is monitoring a client in labor whose membranes ruptured spontaneously. The initial nursing action is to:


A) Take the client's blood pressure.
B) Provide peripads to the client.
C) Determine the fetal heart rate.
D) Note the amount, color, and odor of the amniotic fluid.

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