The obstetrical triage nurse is assessing a client with a term pregnancy. There has not been any change in the cervix for the past 2 hours despite irregular contractions. When discharging the client to her home, the nurse should tell the client to return to the hospital when which of the following occur? Select all that apply.
1. She feels more than three contractions an hour.
2. Contractions become more intense and closer together.
3. She notices vaginal bleeding.
4. She thinks the membranes have ruptured.
5. She notices an absence of fetal movement.
6. She feels the urge to push.
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