For each of the following potential antihypertensive medications, indicate whether it is recommended or not recommended for use in a pregnant client.

Choice A rationale

Inspecting the perineum does not address uterine atony, which is the leading cause of postpartum hemorrhage. Interventions should focus on uterine contraction to minimize bleeding.

Choice B rationale

Massaging the fundus stimulates uterine contractions, reducing uterine atony and preventing further hemorrhage. This is a first-line intervention for postpartum excessive bleeding.

Choice C rationale

Administering oxytocin enhances uterine contractions and is effective in managing hemorrhage. However, fundal massage is prioritized initially to assess uterine tone and response.

Choice D rationale

Assisting the client to void helps empty the bladder, which may improve uterine contraction. However, fundal massage is the most immediate measure to prevent further bleeding.

Choice A rationale

Intravenous medications are not administered for a nonstress test, which evaluates fetal heart rate response to movement using external monitoring. No pharmacological intervention is needed.

Choice B rationale

Nonstress tests typically last about 20–40 minutes, depending on fetal activity and reactivity. This duration allows sufficient time to observe fetal heart rate accelerations.

Choice C rationale

There are no dietary restrictions for a nonstress test, as the procedure involves non-invasive external monitoring and does not affect digestion or metabolic processes.

Choice D rationale

A nonstress test does not assess fetal lung maturity but evaluates fetal heart rate accelerations in response to fetal movement to ensure fetal well-being.