Prioritizing Assessments in Labor and Delivery

A nursing student is observing a labor and delivery process in the clinical setting. The client, who is 39 weeks pregnant, is being assessed for labor progression. Upon cervical examination, the nurse notes a dilation of 6 cm and 90% effacement, with the fetal heart rate recorded at 120 beats per minute and accelerations noted every few minutes. The mother has an epidural in place, and her contractions are occurring every 3 minutes lasting 60 seconds. Which of the following findings should the nurse prioritize for assessment to ensure both maternal and fetal well-being during this stage of labor?