A multipara in latent phase of labor experiences spontaneous rupture of membranes while walking.

Which is the first priority nursing action?

Choice A rationale
Accelerations with moderate variability indicate fetal well-being and responsiveness to the uterine environment, requiring documentation of normal findings and reassurance to the mother.
Choice B rationale
There is no need to immediately call the midwife or doctor, as accelerations with moderate variability are positive indicators of fetal health and do not suggest any issues.
Choice C rationale
Taking maternal vital signs and advising bed rest is unnecessary because the observed accelerations and variability show that the fetus is not experiencing distress, negating the need for such interventions.
Choice D rationale
Repositioning the mother and checking the monitor for changes is unnecessary, given that accelerations with moderate variability already indicate a well-oxygenated and responsive fetus, not requiring any adjustments.

Choice A rationale
Indoor cats can carry Toxoplasma gondii, the parasite that causes toxoplasmosis. Exposure to cat feces increases the risk of infection, which can cross the placenta and harm the fetus.
Choice B rationale
Outdoor dogs do not pose a significant risk for toxoplasmosis as the disease is primarily associated with cat feces. The primary concern is soil contamination from infected cats.
Choice C rationale
Pet turtles do not carry Toxoplasma gondii. The primary zoonotic concern with turtles is Salmonella, not toxoplasmosis, which does not affect pregnancy in the same way.
Choice D rationale
Horses are not carriers of Toxoplasma gondii. They are not a source of infection for toxoplasmosis, and there is no increased risk associated with having a horse during pregnancy.