A 28-year-old gravida 1, para 0 patient who is at term calls the labor and birth unit stating that she thinks she is in labor. She states that she does have some vaginal discharge and feels wet; however, it is not bloody in nature. She relates a contraction pattern that is irregular, ranging from 5 to 7 minutes and lasting 30 seconds. Which questions should the nurse pose to the patient during this telephone triage? (Select all that apply.)

Question

Quizplus · Accepted Answer

The cornerstone of obstetric triage is reassurance of maternal-fetal well-being. Thus in view of the assessment data that the patient provided, the nurse should ascertain membrane status and ask the patient to come in for evaluation. The patient has already indicated that the vaginal discharge was not bloody in nature. Having the patient continue to monitor at home would not provide assurance of maternal-fetal well-being. Asking the patient about the next scheduled physician visit does not address current health concerns of impending labor.

A 28-Year-Old Gravida 1, Para 0 Patient Who Is at Term