Difficulty: Medium
Average Score: 83%
Simulated
Passage / Scenario
Laboring client with ruptured membranesA laboring client's membranes have just ruptured. What is the nurse's next action?
Correct answer
B
Rationale
Assessing fetal heart rate post-rupture detects distress from cord prolapse or fluid changes, prioritizing over blood pressure, temperature, or surgery.