Each little box vertically represents: 

Questions

Eаch little bоx verticаlly represents: 

A 25-yeаr-оld wоmаn аt 35 weeks' gestatiоn is brought to the labor and delivery unit by her husband. She is lethargic and complains of low abdominal pain. Her husband states she started vomiting the previous day and has not eaten anything since. He checked her blood glucose at home, and it was 320 mg/dL. She is gravida 1 para 0. Her medical history includes type 1 diabetes for two years. The client's vital signs are temperature 98.6 F (37 C), heart rate 110 beats per minute, respiratory rate 24 breaths per minute, and blood pressure 106/70. Her electronic medical record indicates her fundal height was 36 cm one week ago, with a weight of 180 lb. The fetal heart rate monitor shows the fetal heart rate at 120 beats per minute with minimal variability and no decelerations with irregular contractions every 5 to 7 minutes, lasting 30 to 45 seconds, which are mild on palpation. Urinalysis Result Reference value Glucose 4+ Negative Ketones 4+ Negative Protein Negative Negative Specific gravity 1.035 1.001-1.035 What client information requires immediate follow-up? (Select all that apply)