A multiparous woman has been in labour for 8 hours.Her membranes have just ruptured.What is the nurse's initial response?

Question

Quizplus · Accepted Answer

The umbilical cord may prolapse when the membranes rupture.The fetal heart rate and pattern should be monitored closely for several minutes immediately after rupture of membranes (ROM)to ascertain fetal well-being,and the findings should be documented.ROM may increase the intensity and frequency of the uterine contractions,but it does not indicate that birth is imminent.The nurse may notify the primary care provider after ROM occurs and the fetal well-being and response to ROM have been assessed.The nurse's priority is to assess fetal well-being.The nurse should document the characteristics of the amniotic fluid,but the initial response is to assess fetal well-being and the response to ROM.

A Multiparous Woman Has Been in Labour for 8 Hours