Difficulty: Medium
Average Score: 64%
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 min and a frequency of 3 min. 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
C
Rationale
Low blood pressure (92/54 mm Hg) suggests hypotension; elevating one hip improves venous return, enhancing maternal and fetal perfusion.