[Answered]: Sarah Johnson, a 28-year-old G2P1, arrives at the…

Sarah Johnson, a 28-year-old G2P1, arrives at the labor and delivery unit at 39 weeks gestation with regular contractions every 5 minutes, lasting 60 seconds. She reports rupture of membranes (ROM) one hour ago, with clear fluid noted. She denies vaginal bleeding and states fetal movement has been normal. Her medical history includes gestational hypertension, and her first labor lasted 18 hours with a spontaneous vaginal delivery. She is experiencing moderate pain (6/10) with contractions. Upon assessment: Cervical exam: 4 cm dilated, 80% effaced, -1 station FHR: Baseline 140 bpm, moderate variability, occasional early decelerations, no late or variable decelerations Maternal Vitals: BP 138/88, HR 88, RR 18, Temp 98.6°F Pain: Patient states, “I want to try breathing techniques first, but I may need medication later.”