The nurse cares for a client who is G1P0 at 40 weeks gestati…

The nurse cares for a client who is G1P0 at 40 weeks gestational age who is experiencing labor. She is going natural and was 6 cm dilated two hours ago. She has been laboring in the shower with the nurse intermittently listening to the fetal heart rate using a handheld Doppler. She calls out and thinks she may have had a spontaneous rupture of membranes. The nurse enters the room. His priority assessment is