Difficulty: Medium
Average Score: 94%
Simulated
Passage / Scenario
A client who is at 38 weeks of gestation and is in the active phase of the first stage of laborA nurse is admitting a client who is at 38 weeks of gestation and is in the active phase of the first stage of labor. Which of the following assessment findings is the first priority for the nurse to report to the provider?
Correct answer
A
Rationale
Prolonged contractions without rest suggest hyperstimulation, risking fetal distress, requiring immediate reporting. Urge to push, clear fluid, and mucous plug are less urgent.