The laboring patient is having 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 described, keeping the patient on bed rest is the highest priority. The patient is in active labor with strong contractions, the cervix is significantly dilated and effaced, and the membranes have ruptured. Bed rest can help manage the risk of cord prolapse following the rupture of membranes and also helps in monitoring the labor progress and fetal well-being more effectively.

The Laboring Patient Is Having Moderately Strong Contractions Lasting 60