A nurse is caring for a patient immediately following the delivery of a stillborn fetus. What action should the nurse take?

Choice A rationale
While it’s important to monitor blood pressure in a client with peripartum cardiomyopathy, assessing it twice daily is not a specific intervention for this condition.
Choice B rationale

Restricting daily oral fluid intake is a key intervention in managing peripartum cardiomyopathy. This condition can lead to fluid overload, so limiting fluid intake can help prevent worsening of symptoms.
Choice C rationale
Misoprostol is a medication used to prevent stomach ulcers or to induce labor. It is not used in the management of peripartum cardiomyopathy.
Choice D rationale
Administering an IV bolus of lactated Ringer’s can increase the client’s fluid volume, which is not recommended in peripartum cardiomyopathy as it can exacerbate heart failure symptoms. Explore

Choice A rationale

While it’s true that symptoms of GBS in pregnant women are often not apparent, the absence of symptoms does not eliminate the risk of transmission to the baby during delivery.
Therefore, this is not the primary reason for the timing of the test.
Choice B rationale
Even though a woman’s previous deliveries were negative for GBS, it doesn’t mean she won’t have GBS in subsequent pregnancies. GBS can come and go in a person’s body without symptoms, so even if previous tests were negative, a woman could still have GBS in her current pregnancy.
Choice C rationale
GBS is not typically part of early prenatal testing. It is usually tested for late in the third trimester because a woman can test negative earlier in pregnancy and be positive by the time of delivery.
Choice D rationale
This is the correct answer. The primary reason for testing for GBS late in pregnancy is to identify women who are GBS positive at the time of delivery, as these women have a risk of transmitting GBS to their newborns during delivery.