A woman who is gravida 3 para 2 enters the intrapartum unit. The most important nursing assessments are
a. Contraction pattern, amount of discomfort, and pregnancy history
b. Fetal heart rate, maternal vital signs, and the woman's nearness to birth
c. Identification of ruptured membranes, the woman's gravida and para, and her
support person
d. Last food intake, when labor began, and cultural practices the couple desires
B
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A This is an important nursing assessment, but does not take priority if the birth is
imminent.
B All options describe relevant intrapartum nursing assessments, but the focus
assessment has priority. If the maternal and fetal conditions are normal and birth
is not imminent, other assessments can be performed in an unhurried manner.
C This is an assessment that can occur later in the admission process if time
permits.
D This part of the assessment can occur later in the admission process if time
permits.
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