Which client requires immediate intervention by the labor and delivery nurse?

1. Client at 8 cm, systolic blood pressure has increased 35 mm Hg
2. Client who delivered 1 hour ago with WBC of 50,000
3. Client at 5 cm with a respiratory rate of 22 between contractions
4. Client in active labor with polyuria


2
Explanation: 2. The white blood cell (WBC) count increases to 25,000/mm3 to 30,000/mm3 during labor and early postpartum. This count is abnormally high, and requires further assessment and provider notification.

Nursing

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