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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.

Answer and Explanation

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.

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Correct Answer is ["A","B","C","E"]

Explanation

A. Administer antihypertensive medication as prescribed - The client's blood pressure is elevated, and managing hypertension is crucial to prevent complications.

B. Initiate continuous fetal monitoring - The client is experiencing symptoms that could indicate preeclampsia, and continuous monitoring is essential to assess fetal well-being.

C. Monitor for signs of magnesium toxicity - Given the client's symptoms and lab results, monitoring for magnesium toxicity is important, especially if magnesium sulfate is being used for seizure prophylaxis.

D. Perform a vaginal exam to assess cervical status - This intervention is not a priority at this moment given the client's condition and the need to avoid unnecessary interventions that could cause stress or complications.

E. Assess for signs of placental abruption - Although the client denies vaginal bleeding, it's important to monitor for any signs of placental abruption due to her symptoms and hypertension.

A. Temperature 37.8°C (100.3°F). B. Generalized itching. C. The client reports weakness of the lower extremities. D. Fetal bradycardia.

Correct Answer is D

Explanation

Choice A rationale

A temperature of 37.8°C (100.3°F) is a low-grade fever that does not typically indicate a serious issue in the context of epidural analgesia during labor. It should be monitored, but it's not immediately concerning.

Choice B rationale

Generalized itching can be a common side effect of epidural analgesia due to the opioids used. It should be monitored and managed, but it does not typically require immediate physician notification.

Choice C rationale

Weakness of the lower extremities can be expected with epidural analgesia as it causes a loss of sensation and muscle control. This should be monitored, but it is not typically an emergency.

Choice D rationale

Fetal bradycardia is a serious concern that must be reported to the physician immediately. It can indicate fetal distress and requires urgent evaluation and intervention to ensure the well-being of the baby. .

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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:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a 34-year-old female client who is at 34 weeks of gestation in the labor and delivery unit. Below are the exhibits and the questions based on the client's condition. Exhibits What are the priority nursing interventions for this client? Select all that apply.

Correct Answer is ["A","B","C","E"]

Explanation

A nurse is caring for a client who is receiving epidural analgesia during labor.Which of the following symptoms should the nurse report to the physician?

Correct Answer is D

Explanation

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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: