Question

A client comes to the hospital in labor. The membranes rupture at 0410. Which action does the nurse take first?

a) Assess the fetal heart rate.
b) Check the cervical dilation.
c) Administer pain medication.
d) Prepare for delivery.

Answer 1

When a client comes to the hospital in labor and their membranes rupture, the nurse should first assess the fetal heart rate.

Step-by-step explanation:

When a client comes to the hospital in labor and their membranes rupture, the first action the nurse should take is to assess the fetal heart rate. By checking the fetal heart rate, the nurse can determine if the baby is experiencing any distress or if any other immediate concerns need to be addressed. This information will help guide further interventions and decision-making during the labor process.