A laboring woman complains of sudden,sharp,severe pain during a contraction,and when the contraction ceases,the pain is gone.What assessment by the nurse takes priority?

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A ruptured uterus is an obstetrical emergency.A classic sign is sudden pain during a contraction that ceases abruptly.Uterine rupture may be incomplete and the woman may be asymptomatic.Changes in fetal heart tracings (e.g.,sudden bradycardia,prolonged late or variable decelerations)are the most common signs and symptoms and frequently precede the onset of maternal symptoms (i.e.,pain,bleeding).Although all assessments are appropriate,the first thing the nurse should do is assess the fetal heart tracings.

A Laboring Woman Complains of Sudden,sharp,severe Pain During a Contraction,and