A multiparous woman has been in labor for 8 hours. Her membranes have just ruptured. The nurse's initial response would be to:

Question

Quizplus · Accepted Answer

When the membranes rupture, the priority is to assess the fetal heart rate and pattern, as this can indicate whether the baby is in distress and whether an emergency delivery is necessary. The other actions may also be necessary, but assessing the fetal heart rate should be the nurse's initial response.

A Multiparous Woman Has Been in Labor for 8 Hours