A client was admitted to the labor area at 5 cm with ruptured membranes about 14 hours ago. The assessment data that would be most beneficial is:

1. Blood pressure.
2. Temperature.
3. Pulse.
4. Respiration.


2
Rationale:
1. Rupture of membranes for 14 hours places the mother at risk for infection. Blood pressure, pulse, and respirations can assist in the diagnosis of infection, but the temperature is the primary indicator, and often the first indication of a problem.
2. Rupture of membranes for 14 hours places the mother at risk for infection. Blood pressure, pulse, and respirations can assist in the diagnosis of infection, but the temperature is the primary indicator, and often the first indication of a problem.
3. Rupture of membranes for 14 hours places the mother at risk for infection. Blood pressure, pulse, and respirations can assist in the diagnosis of infection, but the temperature is the primary indicator, and often the first indication of a problem.
4. Rupture of membranes for 14 hours places the mother at risk for infection. Blood pressure, pulse, and respirations can assist in the diagnosis of infection, but the temperature is the primary indicator, and often the first indication of a problem.

Nursing

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Indicate whether the statement is true or false.

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