The client in labor has moderately strong contractions lasting 60 seconds every 3 minutes. The fetal head is presenting at a -2 station. The cervix is 6 cm and 100% effaced. The membranes spontaneously ruptured prior to admission, and clear fluid is leaking. Fetal heart tones are in the 140s with accelerations to
150) Which nursing action has the highest priority?

Question

Quizplus · Accepted Answer

Given the situation, keeping the patient on bed rest is the highest priority. This is because the membranes have already ruptured, increasing the risk of infection and potentially complicating the labor if the patient is too active. Bed rest can help manage the progression of labor under these circumstances, ensuring both maternal and fetal well-being.

The Client in Labor Has Moderately Strong Contractions Lasting 60