The priority nursing intervention after an amniotomy should be to:
a. Assess the color of the amniotic fluid.
b. Change the patient's gown.
c. Estimate the amount of amniotic fluid.
d. Assess the fetal heart rate.
ANS: D
The fetal heart rate must be assessed immediately after the rupture of the membranes to determine whether cord prolapse or compression has occurred. Secondary to FHR assessment, amniotic fluid amount, color, odor, and consistency is assessed.
Dry clothing is important for patient comfort; however, it is not the top priority.
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