The Laboring Client Is Having Moderately Strong Contractions Lasting 60

question 15

Multiple Choice

The laboring client is having moderately strong contractions lasting 60 seconds every 3 minutes. The fetal head is presenting at a -2 station. The cervix is 6 c m 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?

• A) Encourage the husband to remain in the room.
• B) Keep the client on bed rest at this time.
• C) Apply an internal fetal scalp electrode.
• D) Obtain a clean-catch urine specimen.