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 B
Explanation
A. "Administer a sedative to the client."
Sedation should not be the first-line intervention. Medications should be used only when non-pharmacological interventions fail and the client poses a danger to themselves or others.
B. "Contact a family member to come and sit with the client."
Having a familiar person present can help calm and reassure the client, potentially reducing agitation and disruptive behavior. Family members can provide emotional support and assist in redirecting the client.
C. "Place the client in a wheelchair with a lap tray."
Using a wheelchair with a lap tray could be considered a restraint, which is not appropriate unless there is a medical need and a provider’s order. It is not the best choice for managing agitation.
D. "Keep the client in her room with the door closed."
Confining the client in a room with the door closed can increase agitation, confusion, and distress. It may also pose a safety risk if the client becomes more aggressive.
Correct Answer is A
Explanation
a. A client with Alzheimer's disease and bacterial pneumonia experiencing newly onset restlessness may indicate a change in condition requiring immediate assessment and intervention.
b. While a fasting blood glucose level of 200 mg/dL in a newly admitted client with diabetes mellitus is concerning, it may not require immediate assessment compared to acute changes in condition.
c. A pain level of 7 in a client 24 hours postoperative following hip surgery is significant but may not be as urgent as assessing a client with newly onset restlessness.
d. A client 3 days postoperative and ready for discharge may require routine assessment but is not likely to require immediate attention compared to other clients with acute changes in condition.
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