Final answer:
After attaching an external fetal monitor, the next action for the nurse is to assess the fetal heart rate and contractions, ensuring that the fetal monitor data reflects a normal and safe status for both the mother and child.
Step-by-step explanation:
Upon attaching an external electronic fetal monitor to the client's abdomen, the next nursing action should be to interpret the data obtained from the monitor. This includes assessing the fetal heart rate patterns and the presence of any contractions. Determining whether the heart rate is within a normal range, usually 110 to 160 beats per minute for a fetus, is crucial. Additionally, the nurse should assess the regularity and frequency of the fetal heart rate, watching for variability or any signs of fetal distress.
Contractions are evaluated by looking at the tightening and relaxing patterns of the uterus, as reflected on the monitor's graph. The nurse must determine if the contractions are occurring at regular intervals and if they are of sufficient strength and duration to facilitate the progress of labor. It is also crucial to communicate the findings with the obstetrician or midwife responsible for the pregnant client's care.
If there are any concerns about the data from the fetal monitor, or if there is a need for further clarification of the fetal condition, the nurse may reposition the client or perform additional interventions. The ultimate goal is to ensure both the mother's and the baby's safety throughout the labor process.