A nurse is caring for a patient who is at 15 weeks gestation, is rh-negative, and just had an Amniocentesis.
Which of the following interventions is the nurse’s priority following the procedure?
Check Pt.'s temp.
Observe for UC’s.
Administer Rho-Immunoglobulin.
Monitor the FHR.
The Correct Answer is D
A.Checking the patient’s temperature is not the priority intervention following an amniocentesis. Temperature may be monitored to detect infection.
B. Amniocentesis can irritate the uterus and occasionally precipitate cramping or contractions; nurses should watch for increasing uterine activity or vaginal bleeding and report these findings.
C. RhIg should be given within the recommended window (within 72 hours, ideally sooner), to prevent the risk of hemolytic disease of the newborn in subsequent pregnancies.
D. Immediate fetal monitoring (FHR and maternal vitals) is commonly performed after amniocentesis to detect acute fetal distress or complications; several centers observe FHR for a period after the procedure. This is an important immediate safety action.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Monitor fetal heart rate.This is because cramping and vaginal bleeding after amniocentesis are signs of possible complications such as miscarriage, infection, or injury to the fetus.
Monitoring the fetal heart rate can help assess the well-being of the fetus and detect any signs of distress.
Choice A is wrong because administering Rho(D) immune globulin is only necessary if the mother has Rh-negative blood and the baby has Rh-positive blood, which can cause Rh sensitization.
This is not given routinely to all women who have amniocentesis.
Choice C is wrong because assessing maternal vital signs is not the first action to be taken.
While maternal vital signs can indicate infection or bleeding, they are less important than the fetal heart rate in this situation.
Choice D is wrong because obtaining an order for an ultrasound exam is not the first action to be taken.
While an ultrasound exam can help confirm the diagnosis of complications such as placental abruption or fetal injury, it is not as urgent as monitoring the fetal heart rate.
Normal ranges for fetal heart rate are 110 to 160 beats per minute.Normal ranges for maternal vital signs are: temperature 36.1°C to 37.2°C, pulse 60 to 100 beats per minute, blood pressure 120/80 mm Hg or lower, and respiratory rate 12 to 20 breaths per minute.
Correct Answer is D
Explanation
A.Checking the patient’s temperature is not the priority intervention following an amniocentesis. Temperature may be monitored to detect infection.
B.Amniocentesis can irritate the uterus and occasionally precipitate cramping or contractions; nurses should watch for increasing uterine activity or vaginal bleeding and report these findings.
C.RhIg should be given within the recommended window (within 72 hours, ideally sooner), to prevent the risk of hemolytic disease of the newborn in subsequent pregnancies.
D.Immediate fetal monitoring (FHR and maternal vitals) is commonly performed after amniocentesis to detect acute fetal distress or complications; several centers observe FHR for a period after the procedure. This is an important immediate safety action.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.