The nurse is assessing a new patient who has come to the clinicwith the complaint of strong, irregular contractions for the past12 hours. Assessment reveals the membranes are intact, the cervixis at 4 cm, and vital signs of both mother and infant are withinnormal limits. After a couple hours of observation, thecontractions have become regular and closer together, but themembrane remains intact.

A. What should the nurse be aware of to prepare the patient forpossible amniotomy?

B. What nursing diagnoses would be appropriate in this case?

C. What are the expected outcomes?

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