A nurse admits a woman who is at 38 weeks of gestation and in early labor with ruptured membranes. The nurse determines that the client's oral temperature is 38.9° C (102° F). Besides notifying the provider, which of the following is an appropriate nursing action?
Explanation & Rationale
A. Assessing the odor of the amniotic fluid is important because a foul-smelling or cloudy fluid can indicate intra-amniotic infection (chorioamnionitis). Early recognition and documentation of signs of infection help guide timely interventions to prevent maternal and fetal complications. B. Waiting 4 hours to recheck the temperature is unsafe in the presence of a high fever, as this could delay the identification of infection or sepsis. C. Administering glucocorticoids is typically indicated for preterm labor (<34 weeks) to promote fetal lung maturity, not for term clients with fever. D. Preparing for emergency cesarean is not automatically indicated for fever alone; management focuses first on assessing for infection and monitoring maternal-fetal status.