What action should a nurse take for a client in active labor with ruptured membranes?

In cases where a client is in active labor with ruptured membranes, one of the most critical actions for the nurse to take is to apply a fetal heart rate monitor. This is essential because ruptured membranes can increase the risk of fetal distress or complications during labor, such as cord prolapse or infection. Continuous monitoring of the fetal heart rate allows the healthcare team to assess the baby's well-being and respond promptly to any signs of distress.

By applying the fetal heart rate monitor, the nurse can effectively track the baby's heart rate and patterns, leading to timely interventions if abnormalities are detected. Monitoring is particularly important in the context of ruptured membranes, as it provides crucial information about the fetal condition, especially since the protective barrier of the amniotic fluid has been compromised.

This proactive assessment ensures the safety of both the mother and the fetus during the labor process. Other actions, while important, are not the immediate priority in this scenario. For example, administering pain medication may be necessary but does not address the immediate need for fetal monitoring following membrane rupture.