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The Nurse Is Reviewing the Chart of a 35-Year-Old G4P2012

Question 10

Multiple Choice

The nurse is reviewing the chart of a 35-year-old G4P2012 woman. The patient is at 38 weeks, 4 days and is in active labor with SROM clear fluid 2 hours ago. What action should the nurse take?


A) Monitor the patient's blood pressure, temperature, and respirations every 2 hours.
B) Have the patient rate her pain on a scale from 1-10 roughly every hour.
C) Help the patient change her position from side to side every 30 minutes.
D) Monitor the fetal heart tones every hour.

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