In: Nursing
D.H. arrives at labor and delivery unit having contractions and feeling extremely uncomfortable and doubling over with contraction pain. She says she was shopping in the mall with her friend and “It was really bad! I could barely walk to the car!” A nurse takes her to the intake room, provides privacy, has her change into a gown, and prepares for assessment.
1. D.H. at 38 weeks gestation started contracting 2 hours ago and has contractions 2 ½ minutes apart lasting 45-60 seconds. This is her fifth pregnancy. She has two children 8 and 3 at home both term deliveries. Other pregnancies were elective abortions. The membranes are intact at this time. The client is B+ and has a positive group B strep culture in her file nad no significant medical history. A nurse should most appropriately ask for what information before doing a vaginal exam?