Answer
- vital signs (reassuring FHR)
- Hx (from pt + antenatal records for risk stratification, GA, parity, GBS status, etc)
- Px
o strength, timing, duration of contractions
o deg of maternal distress
o membrane status, quality of fluid if ruptured
o fetal lie & presentation
o presence of show
o speculum exam if needed
o vag exam for dilation, effacement, station, position of cervix
- Lab (G&S, urinalysis & b/w if other conditions like UTI/HTN)
- admission (for active labour or conditions needing in-pt observation)