The client presents to Labor and Delivery stating that her water broke two hours ago. Indicators of normal labor include: (Select all that apply.)
1. Fetal heart rate of 130 with average variability.
2. Blood pressure of 130/80.
3. Maternal pulse of 160.
4. Protein of +1 in urine.
5. Odorless, clear fluid on underwear.
1, 2, 5
Rationale:
1. FHR 120–160 with variability is a normal indication.
2. Maternal vital sign of blood pressure below 140/70 is a normal indication.
3. A pulse of 60–100 is a normal indication.
4. Proteinuria of +1 or more could be a sign of pre-eclampsia.
5. Fluid clear and without odor is a normal indication.
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