What additional data is needed to identify current problem

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Problem

Betty arrived at the labor unit, complaining of uterine contractions every 5 minutes lasting about 60 seconds each. VS: 110/70, P 80, RR 18 T 98.6 She is 37 6/7 weeks pregnant, a 2 pack a day smoker, 36 years of age, and a G5P4. Her past deliveries were all vaginal without any issues. She is admitted in labor. Her sterile vaginal exam: 4/0/100 (dilation/station/% effaced). VS 120/80, P 100, RR 20 T 98.6 She calls you into the room because she just felt a gush of fluid. The fluid is dark red, and non-odorous. She has a pad on, and it measured 100 grams after subtracting the dry weight. She complains of much more intense continuous uterine pain after the gush of fluid. Upon palpation her abdomen is tender to touch. Recognizing cues: What clinical data is significant? What cues are most concerning? What does the clinical data mean? What additional data is needed to identify the current problem? Get the instant assignment help. Prioritizing hypothesis: What problem is most likely? Generate solutions: What is the desired outcome? What interventions are indicated to achieve the desired outcome? New data: VS 100/70, P110, RR24 Take Action: What interventions are needed immediately?

Reference no: EM133967653

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