A multiparous woman has been in labor for 8 hours. Her membranes have just ruptured. The nurses initial response would be to:
Assess the fetal heart rate and pattern
When a multiparous woman has been in labor for 8 hours and her membranes have just ruptured, the nurse’s initial response would be to assess the color, odor, and amount of the amniotic fluid. The nurse should also assess fetal heart rate and maternal vital signs.
Assessing the color and odor of the amniotic fluid is important to determine if there are any signs of meconium staining. If there is greenish or brownish staining, it suggests that the fetus has passed meconium, which can be a sign of fetal distress. The amount of fluid will also help the nurse to determine if there is adequate amniotic fluid to protect the baby during birth.
Assessing the fetal heart rate is important to evaluate the fetal well-being. The nurse should monitor the fetal heart rate for any signs of distress.
Maternal vital signs should also be assessed to ensure that the mother is not experiencing any problems such as fever, hypertension, or tachycardia.
Once the nurse has made assessments, they should notify the healthcare provider and document the findings. The healthcare provider will decide if any intervention is required or if further monitoring is necessary.
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