The Nurse Assesses a Client at Term Gestation Who Reports

The nurse assesses a client at term gestation who reports having contractions for the last 2 hours.  The client states, "I'm not sure, but I think my water broke."  The nurse performs a nitrazine pH test, which turns blue.  When documenting the results of the test, which client statement is most concerning to the nurse?

A) "I did have sexual intercourse with my partner 1 hour before coming in today."
B) "I have noticed constant wetness in my panties since I thought my water broke."
C) "It is difficult for me to tell if my water broke or if I just peed on myself a little bit."
D) "With my last three pregnancies, my water never broke on its own."

Correct Answer:

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