In response to the rupture of membranes and presence of meconium fluid, what is the immediate action the nurse should take?

In response to the rupture of membranes and presence of meconium fluid, what is the immediate action the nurse should take?

• A. Conduct a sterile vaginal exam
• B. Monitor maternal temperature every 2 hours
• C. Prepare for an immediate cesarean birth
• D. Obtain sterile suction equipment

Answer: (D)

The appropriate immediate action when there is a rupture of membranes and the presence of meconium-stained amniotic fluid is to obtain sterile suction equipment. This is critical because meconium-stained fluid can pose a risk of meconium aspiration syndrome for the newborn, which occurs if the infant inhales a mixture of meconium and amniotic fluid into the lungs during or shortly after birth. By preparing suction equipment, the nurse ensures that the medical team can quickly address any potential respiratory complications that might arise immediately after delivery. This proactive measure allows for prompt intervention to clear the neonate's airway if necessary, helping to prevent or mitigate the effects of aspiration. While other options may also be relevant in the management of the laboring patient, they do not address the immediate need to ensure the newborn's airway is protected from potential meconium aspiration.

The appropriate immediate action when there is a rupture of membranes and the presence of meconium-stained amniotic fluid is to obtain sterile suction equipment. This is critical because meconium-stained fluid can pose a risk of meconium aspiration syndrome for the newborn, which occurs if the infant inhales a mixture of meconium and amniotic fluid into the lungs during or shortly after birth.

By preparing suction equipment, the nurse ensures that the medical team can quickly address any potential respiratory complications that might arise immediately after delivery. This proactive measure allows for prompt intervention to clear the neonate's airway if necessary, helping to prevent or mitigate the effects of aspiration.

While other options may also be relevant in the management of the laboring patient, they do not address the immediate need to ensure the newborn's airway is protected from potential meconium aspiration.