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Question
Cindy Mason and her partner came in about 5 minutes ago because she thinks she may be in labor. She is a 28-year-old G2P1 who is at 40 weeks of gestation. She had a spontaneous vaginal delivery without complications 3 years ago and this pregnancy has been unremarkable. She reports her contractions began about 4 hours ago and are occurring every 4 to 5 minutes, lasting about 60 seconds. She rates the pain with contractions a 4 on a 0 to 10 pain scale. Cindy also states that her membranes might have ruptured as she has noticed a small amount of fluid on her underwear over the past couple of hours, but that it may also be urine. She appears somewhat anxious and stated that she wasn't sure if she should have come to the hospital or not. The nurse applied the external fetal monitor before coming to the nurse's station to give the report, so Cindy still needs to be assessed. The nurse should identify this client has or is at risk for which for the following concerns?
Health Promotion: Client Education Physiological: Tissue Integrity Physiological: Sensory Physiological: Acid Base Physiological: Immunity Physiological: Gas Exchange.
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