A medical assistant should report which of the following as outside the expected reference range when obtaining vitals?

A. Ensure the skin is clean and dry. This is the correct action. Sweating can interfere with electrode adhesion and signal quality, so the skin should be cleaned and dried to ensure a good contact for accurate EKG readings.
B. Apply conductive gel to the patient's chest. Conductive gel is typically used with certain types of electrodes, but in the case of disposable adhesive EKG electrodes, it is not necessary and may not improve tracing quality.
C. Shave the electrode sites. Shaving may be necessary if the patient has a lot of body hair, but it is not the first step when dealing with sweating. Drying the skin is more immediate and essential.
D. Place the electrodes below the clavicle. Electrode placement should follow standard EKG guidelines, and moving them to non-standard positions like below the clavicle can result in inaccurate readings.

A. ROM (Rupture of Membranes): ROM is commonly used in obstetrics to describe the rupture of the amniotic sac during labor.
B. LMP (Last Menstrual Period): LMP is used in gynecology and obstetrics, but it is more related to menstrual history rather than obstetric procedures.
C. ADL (Activities of Daily Living): ADL is used in various medical contexts to describe daily living activities, not specific to obstetrics and gynecology.
D. JRA (Juvenile Rheumatoid Arthritis): JRA is unrelated to obstetrics and gynecology; it pertains to a type of arthritis in children.