A strategy to use in knowing what to do first between assessment or implementation answers with a mom in labor is pretty difficult. Here is what I found to be true.
If a mom comes into the unit saying she is in active labor, the first action here would be to listen to the fetal heart sounds or observe the perineum for progress in dilation.
Once the patient’s water breaks, first check the fetal heart rate.
If there is cord prolapse, IMPLEMENT first. Place the patient in trendelenburg position.