The perinatal nurse is asked to assess a 35-year-old woman who is a G1 TPAL 0000 at 34 weeks' gestation with a twin gestation. The patient complains of regular contractions with low abdominal pain that moves into the lumbar section of her back
The perinatal nurse's most appropriate initial nursing action is to do which of the following?
A.
Assess the patient's contractions.
B.
Initiate continuous fetal monitoring.
C.
Reassure the patient and her partner.
D.
Review the patient's birth plan.
ANS: B
Electronic fetal monitoring is applied in the case of a multiple gestation. It is important to identify each of the individual fetal heart rates, and the use of a separate monitor for each fetus is preferable. The other interventions are also appropriate, but do not take priority over fetal monitoring.
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