A woman telephones her health care provider and reports that her waters just broke. Which suggestion by the nurse would be most appropriate?
A) "Call us back when you start having contractions."
B) "Come to the clinic or emergency department for an evaluation."
C) "Drink 3 to 4 glasses of water and lie down."
D) "Come in as soon as you feel the urge to push."
B
Response:
When the amniotic sac ruptures, the barrier to infection is gone and there is the danger of cord prolapse if engagement has not occurred. Therefore, the nurse should suggest that the woman come in for an evaluation. Calling back when contractions start, drinking water, and lying down are inappropriate because of the increased risk for infection and cord prolapse. Telling the client to wait until she feels the urge to push is inappropriate because this occurs during the second stage of labor.
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