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Home Q & A Board Biology-Related Homework Help Medicine Nursing and Clinical
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Darkne55reborn Darkne55reborn
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6 years ago
The client in labor experiences a spontaneous rupture of membranes. What information related to this event must the nurse include in the client's record?
 
  a. Fetal heart rate
  b. Pain level
  c. Test results ensuring that the fluid is not urine
  d. The client's understanding of the event
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#1
6 years ago
ANS: A
Charting related to membrane rupture includes the time, FHR, and character and amount of the fluid. Pain is not associated with this event. When it is obvious that the fluid is amniotic fluid, which is anticipated during labor, it is not necessary to verify this by testing. The client's understanding of the event would only need to be documented if it presents a problem.
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