A patient in active labor suddenly feels dizzy and faint while the nurse performs Leopold's maneuvers. What should the nurse do first?

In the scenario presented, the patient is experiencing dizziness and faintness during active labor, which can be indicative of various issues, including supine hypotensive syndrome. This condition often arises when a pregnant woman lies flat on her back, leading to increased pressure on the inferior vena cava by the growing uterus. It can result in decreased venous return to the heart and, subsequently, decreased blood flow to the brain, causing symptoms like dizziness.

Helping the patient to turn onto her side is the most immediate and effective action to address her symptoms. This position relieves pressure on the inferior vena cava, promotes better blood flow, and helps to alleviate the symptoms of dizziness and faintness.

While assessing the fetal heart rate, administering oxygen, or notifying the healthcare provider are all important actions in a comprehensive care plan, they do not directly address the immediate cause of the patient's symptoms. By positioning the patient on her side, the nurse can quickly stabilize her condition while simultaneously monitoring for any potential fetal distress. This approach prioritizes the safety and well-being of both the patient and the fetus during a critical time in labor.