Ms. J . is in labor with her first child. She has had an une…

Ms. J . is in labor with her first child. She has had an uneventful pregnancy with normal weight gain, BP’s and fetal growth. She took childbirth classes and wants an un-medicated birth. At 36 weeks she had a routine GBBS test which was negative but was found during that exam to have a bacterial vaginosis. It is now 6 hours into a slowly progressive labor. Ms. J has had an epidural and foley in place for 4 hours as she was struggling with coping with her pain after her water broke 5 hours ago. Her vital signs were: BP 124/86, P 98, R 22, T 100.9.  FHR baseline 170 with decreased variability. Possible diagnosis for Ms. J would include all the following EXCEPT:

You admit a 37 wk multipara with no prenatal care in active…

You admit a 37 wk multipara with no prenatal care in active labor. She is 4cm/60%/-1 station, vertex presentation. She reports she had a gush of fluid 20 hours ago prior and has been leaking clear fluid since. She is afebrile and a sterile speculum exam confirms ROM. Which statement is correct about this patient?