The nurse is contacting the provider regarding the client's status.
Which of the following findings should the nurse report to the provider? Select the 4 findings the nurse should report:
Gestational age.
Vaginal examination.
Uterine contractions.
Birthing parent's blood pressure.
Birthing parent's report of pain.
Fetal heart rate.
Correct Answer : A,B,C,D
Choice A rationale
Gestational age helps assess fetal development and potential complications. It is essential information for the provider to determine appropriate care and interventions.
Choice B rationale
Vaginal examination findings provide insight into cervical dilation, effacement, and station, which are critical for monitoring labor progress and making informed decisions about labor management.
Choice C rationale
Uterine contractions are a key indicator of labor progress. The frequency, duration, and intensity of contractions help the provider assess labor progression and plan necessary interventions.
Choice D rationale
Birthing parent's blood pressure is crucial for monitoring maternal well-being, especially in cases of pre-eclampsia or other hypertensive disorders. Elevated blood pressure can indicate complications that require immediate attention.
Choice E rationale
Birthing parent's report of pain, while important for comfort measures, is subjective and less critical for immediate clinical decision-making compared to the other findings.
Choice F rationale
Fetal heart rate monitoring provides essential information about the baby's well-being during labor. Abnormal heart rate patterns can indicate fetal distress and necessitate prompt intervention.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
High blood glucose levels in early pregnancy increase the risk of congenital heart defects in the baby.
Choice B rationale
Hip dysplasia is not directly associated with maternal diabetes but can be a congenital condition regardless of maternal glucose control.
Choice C rationale
Necrotizing enterocolitis is more related to prematurity and not directly linked to maternal diabetes.
Choice D rationale
Port wine stains are vascular birthmarks and are not associated with maternal blood glucose levels. .
Correct Answer is {"A":{"answers":"B"},"B":{"answers":"B"},"C":{"answers":"B"},"D":{"answers":"A"},"E":{"answers":"A"}}
Explanation
- Blood pressure 160/105 mm Hg: This is abnormal as it is significantly elevated, which is a key indicator of preeclampsia.
- Reflexes 3+: This is abnormal and indicates hyperreflexia, often seen in preeclampsia.
- Platelet count 140,000/mm³: This is abnormal since it is on the lower end, suggesting mild thrombocytopenia, common in preeclampsia.
- Temperature 37.2°C: This is normal for a pregnant individual.
- Oxygen saturation 97%: This is normal, indicating adequate oxygenation.
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