Difficulty: Medium
Average Score: 71%
Simulated
Passage / Scenario
Client following an amniotomy in the active phase of the first stage of laborA nurse is caring for a client following an amniotomy, who is now in the active phase of the first stage of labor. Which of the following actions should the nurse implement with this client?
Correct answer
A
Rationale
A full bladder can impede fetal descent and increase discomfort, so encouraging urination every 2 hours supports labor progress.