A 29-year-old woman, gravida 2 para 1, at 32 weeks of gestation (EDD in 8 weeks) is seen at an outpatient prenatal clinic where the LPN is assisting the RN with a follow-up visit. Her history includes controlled asthma and a penicillin allergy; she takes a prenatal vitamin and albuterol as needed. Vital signs are BP 118/76 mmHg, no edema, fetal heart rate 145 beats/min, fundal height 31 cm. The client reports she noticed a sudden gush of clear fluid from the vagina about an hour ago and has felt fewer fetal movements since then. The RN has already established a prenatal teaching plan for this pregnancy. What should the LPN do first?
- Explain that clear fluid leakage and reduced movement are expected at 32 weeks.
- Report the fluid leakage and decreased fetal movement to the RN immediately.
- Perform a full assessment and update the client's prenatal plan of care.
- Reinforce third-trimester teaching about labor signs before addressing her report.