The patient presents to the labor and delivery unit stating that her water broke 2 hours ago. Barring any abnormalities, how often would the nurse expect to take the patient's temperature?
1. Every hour
2. Every 2 hours
3. Every 4 hours
4. Every shift
3
Rationale 1: If elevated above 37.5°C, the temperature is taken every hour.
Rationale 2: If the temperature is not elevated, it does not have to be taken every 2 hours.
Rationale 3: Maternal temperature is taken every 4 hours unless it is above 37.5°C. If elevated, it is taken every hour.
Rationale 4: Once a shift is not enough for a patient with ruptured membranes.
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