In cases of meconium-stained amniotic fluid, what is a priority nursing action during labor?

In cases of meconium-stained amniotic fluid, initiating continuous fetal heart monitoring is a critical nursing action during labor. The presence of meconium in the amniotic fluid can indicate fetal distress. Continuous monitoring of the fetal heart rate allows healthcare providers to assess the fetus's well-being in real-time and to identify any signs of distress or abnormal fetal heart patterns that may develop. This monitoring is essential for timely interventions, which may include preparing for possible resuscitation or other measures if the fetal condition worsens.

While preparing for possible fetal resuscitation and performing fetal scalp blood sampling are also important considerations, they come after establishing the continuous monitoring to evaluate the fetal status accurately. Administering antibiotics is usually not a primary intervention unless there are further signs of infection or specific indications for antibiotic therapy. Thus, continuous fetal heart monitoring serves as the foundational step in managing the situation effectively.