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The nurse is caring for a client who is attempting a trial of labor (attempt a vaginal birth after cesarean). Contractions are 1.5 minutes apart with a duration 75 to 90 seconds. The client reports a “sharp, tearing” pain, and the electronic fetal monitor (EFM) is no longer recording contractions. What is the priority nursing action?

 Reposition the client.
 Insert an intrauterine pressure catheter.
 Prepare the client for an emergency cesarean birth.
 Perform a sterile vaginal exam (SVE).
SCIENCE
HEALTH SCIENCE
NURSING
NURSING 290

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