A client in labor with a breech presentation is scheduled for a cesarean delivery. What is the nurse's priority action?

Correct Answer: D

Rationale: Ensuring signed informed consent is a priority before any surgical procedure, including cesarean delivery.

Correct Answer: A

Rationale: The patient should be informed that emergency contraception is a temporary measure and they need a long-term contraceptive plan. Choice B, while important for overall sexual health, is not the priority immediately after administering emergency contraception. Choice C is not necessary unless there are complications or a follow-up consultation is needed. Choice D about drinking fluids is unnecessary and not specific to the effectiveness of emergency contraception.

Correct Answer: B

Rationale: The sudden urge to push along with the advanced cervical dilation, effacement, and station indicates that the client is likely in the second stage of labor, which is the stage of active pushing. When a woman feels the urge to push, it is essential to assess for the crowning of the fetal head at the perineum as this indicates that the baby is descending and will soon be born. This assessment helps the nurse determine the appropriate actions to take next in assisting the delivery process. Waiting for signs of crowning before guiding the client to push can prevent potential complications related to a rapid birth and help facilitate a more controlled delivery process.

Correct Answer: B

Rationale: Assessing for preterm labor signs, including cervical changes, is critical to determine the appropriate intervention.

Correct Answer: B

Rationale: A birth plan helps individuals explore options and articulate their preferences for childbirth.