Client is a Gravida 1 Para 0 who is at 40 1/7 weeks of gesta…
Client is a Gravida 1 Para 0 who is at 40 1/7 weeks of gestation. Admitted 14 hr ago with spontaneous rupture of membranes, clear amniotic fluid. Irregular uterine contractions every 4 to 6 min, lasting 30 to 45 seconds, mild to palpation. FHR 130/min with moderate variability and accelerations noted. Client has been ambulating in hallway, took a warm shower, and is now resting in bed. Rates pain of contractions a 3 on a 0 to 10 scale.Physical ExaminationCervical exam on admission:2 cm dilated, 75% effaced, -1 station (vertex presentation)Cervical exam 8 hr ago:4 cm dilated, 90% effaced, -1 station (vertex)Cervical exam 4 hr ago:4 cm dilated, 90% effaced, -1 station (vertex)Cervical exam 30 minutes ago:4 cm dilated, 90% effaced, -1 station (vertex)Vital SignsBP: 130/82 mm HgHeart rate: 98/minRespiratory rate: 20/minOxygen saturation: 98% room airTemperature: 37.7° C (99.9° F) temporal