Current Assessment: General Appearance: Calm, hody relaxed, no grimacing, appears to be slightly anxious. Respiratory: Breath sounds clear with equal aeration bilaterally ant/post, non-labored respiratory effort Pink, warm & dry, slight ankle edema, heart sounds regular with no abnormal beata, pulses strong, equal with palpation at radial, brisk cap refill Cardiac: Alert and oriented to person, place, time, and situation (x4) Neuro: Normal cephalic HEENT: Breasts tender on palpation, areola darkened and occasional veins present Chest: Soft, no masses, uterus palpable above umbilicus, mild indenting with palpation, fetus is in LOA position by palpation Abdomen: Mild spider varicose veins on medial aspect of left leg, deep tendon reflexes 2- Extremities: Small amount clear mucous, 1cm/80%/0, membranes intact Vaginal Exam: What assessment data are RELEVANT and must be interpreted as clinically significant by the nurse? RELEVANT Assessment Data: Clinical Significance: (Reduction of Risk Potential Health Promotion and Maintenance)
[Solved]: Current Assessment: General Appearance: Calm, hody…
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