A nurse is caring for a laboring person who is in the first stage of labor. What is the priority assessment during this stage?

Correct Answer: A

Rationale: The correct answer is A: monitor fetal heart rate. During the first stage of labor, assessing the fetal heart rate is crucial to ensure the well-being of the baby. It helps detect any signs of distress or complications early on. Monitoring the mother's health is also important, but ensuring the baby's safety takes precedence. Assessing cervical dilation (B) is important but not the priority in the early stage. Assisting with positioning (C) can help progress labor but is secondary to monitoring fetal well-being. Administering an epidural (D) is not a priority assessment but a pain management intervention.

Correct Answer: A

Rationale: The correct answer is A: ensure informed consent is signed. Before any procedure, obtaining informed consent is essential to ensure the laboring person understands the risks, benefits, and alternatives of the epidural. This helps promote autonomy and respect for the individual's decision-making. Administering pain medication (choice B), IV fluids (choice C), or an analgesic (choice D) without informed consent is not ethical and violates the principle of autonomy. The focus should be on providing comprehensive information and obtaining consent before proceeding with the intervention.

Correct Answer: A

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.

Correct Answer: C

Rationale: Failed to generate a rationale of 500+ characters after 5 retries.