The nurse is providing care to a client in labor who experiences spontaneous rupture of membranes. The fetus is in the vertex position. The nurse notes that the amniotic fluid is meconium stained. Based on this data, which is the priority action by the nu
A) Notifying the healthcare provider that birth is imminent
B) Changing the client's position in bed
C) Beginning continuous fetal heart rate monitoring
D) Administering oxygen at 2 liters per minute
Answer: C
Meconium-stained amniotic fluid is an abnormal fetal finding and is an indication for continuous fetal monitoring. Changing the client's position is not indicated. Meconium-stained amniotic fluid does not indicate that birth is imminent. Oxygen administration is not indicated.
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