Difficulty: Medium
Average Score: 86%
Simulated
Passage / Scenario
A nurse on a labor unit is admitting a client who reports painful contractions. The nurse determines that the contractions have a duration of 1 minute and a frequency of 3 minutes. The nurse obtains the following vital signs: fetal heart rate 130/min, maternal heart rate 128/min, and maternal blood pressure 92/54 mm Hg.Which of the following is the priority action for the nurse to take?
Correct answer
B
Rationale
Positioning with one hip elevated addresses low blood pressure (92/54 mm Hg), improving perfusion, unlike notification, voiding, or pain medication, which are secondary.