A patient 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: Blood pressure can assist in the diagnosis of infection, but is not the primary vital sign.
Rationale 2: Rupture of membranes for 14 hours places the mother at risk for infection. The temperature is the primary and often the first indication of a problem.
Rationale 3: Pulse can assist in the diagnosis of infection, but is not the primary vital sign.
Rationale 4: Respirations can assist in diagnosis of infection, but are not the primary sign.
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