What sign(s) of infection should the nurse assess for after an amniotomy? (Select all that apply.)
a. Oral temperature of 37 ° C (99.8 ° F)
b. Increase of fetal heart rate (FHR) from 160 to 174 beats/minute
c. Flecks of vernix in the amniotic fluid
d. Low back pain
e. Edematous labia
ANS: B
Increase in the FHR above 160 beats/minute frequently precedes a woman's temperature elevation. All the other options are normal findings for late pregnancy.
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