A primigravida who is at 40 weeks gestation arrives at the birthing center with abdominal cramping and a bloody show. Her membranes ruptured 30 minutes before arrival. A vaginal examination reveals 1 cm dilation and the presenting part at −1 station. After obtaining the fetal heart rate and maternal vital signs, what should the nurse do next?

1
Teach the client how to push with each contraction.
2
Encourage the client to perform pattern-paced breathing.
3
Provide the client with comfort measures used for women in labor.
4
Prepare to have the client’s blood typed and crossmatched for a possible transfusion.

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