Mary is a 40-year-old female who has been diagnosed with

Miranda Johnson is a 32-year-old G3P2 at 39 weeks of gestation who was admitted to labor and delivery at 0330 in active labor. Their last pregnancy was 10 years ago. A sterile vaginal examination SVE) was performed on admission and the client was 2 cm dilated, 80% effaced, and -1 station. They reported a small amount of blood-tinged vaginal discharge, but membranes were intact. Contractions were every 4 to 5 minutes and laste approximately 40 to 50 seconds with a reassuring fetal heart rate (FHR) pattern. They reported pain of 4 on a scale of 0 to 10 on admission , with most of the pain in their back and vaginal area, and that they will likely want an epidural like in their prior births. The client’s current weight is 113.6 kg ( 250 lb) and they have mild scoliosis . They reported having an allergy to penicillin . The client’s significant other is in the room. At 0600, client had a spontaneous rupture of membranes ( SROM) and fluid was clearSVE shows the client is currently dilated , 90 % effaced , and 0 station . Contractions are every 3 to 4 minutes, lasting 40-50 seconds with a reassuring FHR pattern. Pain is an 8 on a scale of 0 to 10 and the client is requesting an epidural . There is a 125mL / h * r peripheral IV in the right forearm with 1000 lactated Ringer’s infusing at The provider prescribed an epidural upon client request . After receiving handoff report the nurse should determine the client’s priority needs . Indicate if the client is high priority or low priority using each of the priority frameworks below Maslow’s Hierarchy of Needs High Priority Low Priority Airway , Breathing , Circulation High Priority Low Priority Safety and Risk Reduction High Priority Low Priority Urgent vs nonurgent

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