Question

the charge nurse has received a change - of - shift report on the following clients in labor.
the charge nurse should ask a staff member to first see the client in the

1. first stage of labor who has an oral temperature of 99.7°f (37.6°c)
2. first stage of labor whose contractions are occurring every 30 seconds
3. second stage of labor who has respirations of 26
4. second stage of labor whose contractions are lasting for 60 seconds

Explanation:

In labor, the second - stage labor client with respirations of 26 (normal range is 12 - 20 in non - laboring adults, and during labor, increased respiratory rate can be a sign of distress) is more concerning. The first - stage labor client with a temperature of 99.7°F (37.6°C) is within normal limits (normal oral temperature is around 97 - 99.5°F or 36.1 - 37.5°C). Contractions every 30 seconds in the first stage and contractions lasting 60 seconds in the second stage are within expected ranges for labor progression.

Answer:

1. second stage of labor who has respirations of 26