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Aminiah Hussain is 22-year-old Muslim female, G1 P0, who is 39
5/7 weeks gestation. The client reports needing to wear a peri-
pad due to continually leaking clear fluid for the past 12 hours
ago. They deny the presence of cramping or contractions. The
client's blood type is A negative. Rh immune globulin was
administered at 28 weeks of gestation. They are group B
streptococcus positive. Aminiah is changing into a gown. Their
partner is at the bedside.
After receiving handoff report, the nurse should determine the
client's priority needs. Indicate if the client is a high priority or low
priority using each of the priority frameworks below. - answer
Maslow's - High priority
A, B, C - Low priority
Safety - High priority
Urgent - High priority
Chronic - High priority
Carly Madison, who is a 30 y/o G1P0 at 39 weeks gestation was
just admitted to labor and delivery. Their membranes ruptured an
hour ago. The fluid is clear. Vaginal exam was performed, and
they are 3 cm dilated and 70% effaced. Carly's vital signs are
stable. Fetal heart rate pattern is a Category 1. Contractions are
, every 10 minutes. Lactated Ringer's is infusing at 75 mL/hr.
Carly's blood type is O positive and they are β hemolytic, group B
streptococcus negative.
After receiving handoff report, the nurse should determine the
client's priority needs. Indicate if the client is a high priority or low
priority using each of the priority frameworks below. - answer
Maslow's - High priority
A, B, C - Low priority
Safety - Low priority
Urgent - High priority
Chronic - Low priority
The nurse enters the client's room, performs hand hygiene, and
introduces themselves. Aminiah states they thought there would
be a "big gush" of fluid when the membranes rupture. Aminiah
relates having concerns that they waited so long to come in. The
nurse places a blue pad underneath the client. The nurse
performs Leopold's maneuvers and determines a vertex
presentation. External fetal monitor applied. Abdomen is gravid
and soft with a fundal height of 36 cm. The nurse checks the
client's vital signs: Temperature 36.5° (97.7° F), pulse 76/min,
respiratory rate 20/min, and blood pressure 118/68 mm Hg. -
answer Client Education
Infection
Pain
The nurse enters the client's room, performs hand hygiene, and
introduces themselves. Carly is restless during contractions and