A client in active labor starts screaming, "The baby is coming! Do something!" What is the nurse's primary action? The primary action by the nurse should be to confirm whether birth is imminent by checking the perineal area to determine whether the presenting part is emerging.
Rationale The first action by the nurse would be to confirm whether birth is imminent by checking the perineal area to determine whether the presenting part is emerging. Confirming the client’s sensation is the priority; the nurse would remain with the client and ask a colleague to call the practitioner if birth is imminent.