In managing a laboring client with a prior history of preeclampsia, what should the nurse prioritize?

In managing a laboring client with a prior history of preeclampsia, prioritizing the regular assessment of the fetal heart rate is crucial for several reasons. Firstly, preeclampsia can lead to placental insufficiency, which affects the fetal oxygen supply and can result in fetal distress. Therefore, continuous monitoring of the fetal heart rate provides real-time information regarding the well-being of the fetus during labor.

Abnormalities in the fetal heart rate can indicate complications that may arise during labor due to the mother's condition, allowing for timely interventions if necessary. This monitoring serves as a critical aspect of ensuring both maternal and fetal safety, especially considering the potential for increased risks associated with a history of preeclampsia.

While monitoring uterine contractions, preparing for immediate delivery, and documenting labor progress are important aspects of labor management, the immediate priority in this specific context is to ensure the fetus is safe and responding well to the labor process. Regular assessment of the fetal heart rate effectively addresses this concern, which is paramount in a laboring client with previous preeclampsia.