A client who is in active labor is admitted to a labor and delivery unit reporting "My water just broke and my baby is breech.”. Which of the following actions should the nurse take first?

Choice A rationaleChecking fetal heart tones is the priority to assess the well-being of the fetus, especially in breech presentation and after the membranes have ruptured.Choice B rationalePreparing for a cesarean birth is important but follows the assessment of fetal heart tones and other immediate measures.Choice C rationaleChecking the color, amount, and odor of the fluid is important, but ensuring fetal heart tones comes first to monitor any distress.Choice D rationalePerforming a Nitrazine test to assess for rupture of membranes is redundant once the client reports her water has broken.