QuestionAugust 12, 2025

A nurse is assisting in the care of a client who is at 37 weeks of gestation. The client states Hi am leaking a lot of fluid. I don't know if it's my bag of water or urine."The client denies experiencing uterine contractions. Which of the following steps should the nurse anticipate assisting with first? Monitoring the fetal heart rate pattern and perform bedside testing to evaluate the nuid. Obtain a urine sample to de detect t the presence of infection and obtain the client's temperature. Monitor for uterine contractions and obtain the client's blood pressure. Auscultate maternal heart rate and notify the provider.

A nurse is assisting in the care of a client who is at 37 weeks of gestation. The client states Hi am leaking a lot of fluid. I don't know if it's my bag of water or urine."The client denies experiencing uterine contractions. Which of the following steps should the nurse anticipate assisting with first? Monitoring the fetal heart rate pattern and perform bedside testing to evaluate the nuid. Obtain a urine sample to de detect t the presence of infection and obtain the client's temperature. Monitor for uterine contractions and obtain the client's blood pressure. Auscultate maternal heart rate and notify the provider.
A nurse is assisting in the care of a client who is at 37 weeks of gestation. The client states Hi am leaking a lot of fluid. I don't know if it's my bag of
water or urine."The client denies experiencing uterine contractions. Which of the following steps should the nurse anticipate assisting with first?
Monitoring the fetal heart rate pattern and perform bedside testing to evaluate the nuid.
Obtain a urine sample to de detect
t the presence of infection and obtain the client's temperature.
Monitor for uterine contractions and obtain the client's blood pressure.
Auscultate maternal heart rate
and notify the provider.

Solution
4.3(292 votes)

Answer

Monitoring the fetal heart rate pattern and perform bedside testing to evaluate the fluid. Explanation 1. Assess Fetal Well-being Monitor the fetal heart rate pattern to ensure the fetus is not in distress. This is crucial when there is a potential rupture of membranes. 2. Evaluate Fluid Perform bedside testing (e.g., nitrazine paper test) to determine if the fluid is amniotic fluid or urine.

Explanation

1. Assess Fetal Well-being<br /> Monitor the fetal heart rate pattern to ensure the fetus is not in distress. This is crucial when there is a potential rupture of membranes.<br /><br />2. Evaluate Fluid<br /> Perform bedside testing (e.g., nitrazine paper test) to determine if the fluid is amniotic fluid or urine.
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