Answer :

Final answer:

The nurse's initial action during precipitous labor and imminent birth is to ensure a safe environment, assist the woman into a comfortable position, prepare for emergency childbirth, and monitor both mother and fetus. Guiding the mother through the stages of labor and preparing for immediate post-birth care are also key responsibilities.

Explanation:

The initial action by the attending nurse during a precipitous labor and imminent birth is to ensure a safe environment for both the mother and the baby. The nurse should not instruct the woman to lie on her back if it's not medically necessary or if it's against her wishes. Instead, the nurse should assist the woman into a comfortable position that facilitates labor and prepare for an emergency childbirth if there is no time to transfer to a more appropriate setting. Following evidence-based practices is crucial throughout the entire labor process.

As labor progresses and the imminent birth becomes evident, the nurse should continue monitoring the mother and fetus carefully, guiding the mother through the stages of labor, and ensuring that all necessary equipment and personnel are ready for delivery. Additionally, the nurse should be prepared to provide immediate neonatal care following childbirth, which includes supporting the baby’s first breath, initiating skin-to-skin contact with the mother, and completing any necessary clinical interventions.

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