A young adolescent is in active labor but did not know that she was pregnant. What is the most important nursing action?

Question

Quizplus · Accepted Answer

The most important nursing action in this situation is to assess the client's blood pressure and check for proteinuria, as these are indications of preeclampsia or eclampsia, which can be life-threatening for the mother and baby. Once the client's medical condition is stabilized, the nurse can discuss options for the birth and potential social services referrals. Paternity testing is not a priority at this time.

A Young Adolescent Is in Active Labor but Did Not