The patient presents to the labor and delivery unit stating that her water broke 2 hours ago. Indicators of normal labor include: Note: Credit will be given only if all correct choices and no incorrect choices are selected
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.
Rationale 2: Maternal vital sign of blood pressure below 140/70 is a normal indication.
Rationale 3: A pulse of 60–100 is a normal indication.
Rationale 4: Proteinuria of +1 or more could be a sign of preeclampsia.
Rationale 5: Fluid clear and without odor is a normal indication.
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