A nurse is monitoring a client in labor who is receiving Pitocin and notes that the client is experiencing hypertonic uterine contractions. List in order of priority the actions that the nurse takes. 1.Stop of Pitocin infusion
2.Perform a vaginal examination
3.Reposition the client
4.Check the client's blood pressure and heart rate
5.Administer oxygen by face mask at 8 to 10 L/min

answer: b. complete secondary assessment (detailed physical exam).

after you finished the primary assessment, you must proceed with the assessment by performing a complete detailed physical examination.

this secondary assessment includes a focused on patient’s history, vital signs and a specific and rapid examination of the entire body especially on the injuries acquired from the motor vehicle accident and the patient’s medical complaint.