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Original Question

Pawn A tuarse in an antepartum unit is caring for a client. Select the 2 findings that require immediate folks Nurses’ Notes Duration of contraction Characteristics of ammonia found 2000 Fatal station Client is 38-year-aid, G4 P3 a; 38 weeks of gestation. Presents Fetal heart rate for evaluation of labor and spontaneous rupture of membranes [ Blood pressure (SROM). Client states, “My water broke a couple of hours ago and is a greenish color.” Client also reports contractions began about 4 hr ago and have become consistently stronger and closer together. Electronic fetal monitor applied. Small amount of thin green fluid noted on perineal pad. Contraction palpated lasted 40 seconds, moderate in intensity. Fetal heart rate (FHR) 165/min. Vaginal examination performed, cervix 4 on dilated, 70% effaced, 0 station venter presentation. Client reports a history of chronic hypertension that has been well-controlled during this pregnancy, Also states was diagnosed with gestational diabetes at 28 weeks of gestation.

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