A woman who is gravida iii para ii 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
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 a less hurried manner.
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