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The Charge Nurse Is Reviewing Charting Completed on Clients in the Maternal-Child

Question 9

Multiple Choice

The charge nurse is reviewing charting completed on clients in the maternal-child triage unit. Which entry requires immediate intervention?


A) Multipara at 32 weeks: "Oligohydramnios per ultrasound secondary to fetal renal agenesis."
B) Primipara at 41 weeks: "Client reports leaking clear fluid from her vagina for 7 hours."
C) Primipara at 24 weeks diagnosed with polyhydramnios: "Client reporting shortness of breath."
D) Multipara at 34 weeks diagnosed with oligohydramnios: "Cervix 6 cm, −2 station, up to walk in hallway."

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