What is one of the most critical nursing interventions after an amniotomy?

Continuous fetal heart monitoring is essential after an amniotomy because it helps assess the fetal response to the procedure and can detect any changes in fetal well-being. Amniotomy, the artificial rupture of membranes, can influence the fetal heart rate by potentially leading to complications such as umbilical cord compression, infection, or changes in uterine contractions. By continuously monitoring the fetal heart rate, the nurse can quickly identify any signs of fetal distress, allowing for prompt intervention if necessary.

While assessing and providing pain relief, maintaining sterility, and encouraging movement are important aspects of care, they do not specifically address the immediate risks and changes that can arise following the rupture of membranes. Continuous fetal monitoring is prioritized to ensure the safety and health of both the mother and the fetus during this critical period.