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

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

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