A nurse in prenatal clinic is caring for a group of clients. Which of the following clients should the nurse recommend for an interdisciplinary care conference?
A client who is 37wks gestation and has an L/S ratio of 2:1
A client who is 28wks gestation and has a negative Coombs's titer
A client who is at 39wks gestation and has a negative contraction stress test
A client who is at 35wks gestation and has a biophysical profile of 6
The Correct Answer is D
a. L/S ratio of 2:1 at 37 weeks gestation indicates fetal lung maturity, requiring monitoring but not necessarily immediate interdisciplinary care.
b. Negative Coombs's titer at 28 weeks gestation suggests Rh incompatibility, which may require monitoring but is not an immediate indication for interdisciplinary care.
c. Negative contraction stress test at 39 weeks gestation indicates a lower likelihood of uteroplacental insufficiency but does not necessarily warrant interdisciplinary care.
d. A biophysical profile score of 6 at 35 weeks gestation suggests potential fetal compromise and may require interdisciplinary care to assess and manage the situation.
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Related Questions
Correct Answer is C
Explanation
a. Delaying discharge may not address the partner's concerns and could potentially prolong the client's hospital stay unnecessarily.
b. While placement in a long-term care facility might be an option, it should be discussed collaboratively with the case manager and the client's healthcare team.
c. Contacting the case manager is appropriate to explore alternative discharge options and support services for the client and their partner.
d. Requesting assistance from another family member may not be feasible or address the underlying issue of the partner's inability to continue caring for the client.
Correct Answer is D
Explanation
a. Instructing the client's family to contact the insurance provider may be appropriate but does not directly address the issue of the delayed oxygen tank delivery.
b. Sending an oxygen tank from the facility home with the client may not be feasible or within the nurse's authority without proper arrangements and documentation.
c. Contacting social services may not be necessary for the delivery of oxygen equipment, as this is typically arranged through the equipment company or the healthcare provider.
d. Notifying the provider about the delayed oxygen tank delivery allows them to follow up with the equipment company or make alternative arrangements to ensure the client receives the necessary equipment in a timely manner.
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