Which client has the priority need for fetal monitoring?

a. Primigravida at 38 weeks with spontaneous ROM
b. Multigravida at 40 weeks with history of 10-hour labors
c. Multigravida admitted for repeat elective cesarean section
d. Primigravida at 39 weeks with meconium-stained amniotic fluid


ANS: D
Meconium-stained amniotic fluid indicates a potential risk factor during labor. Primigravida at 38 weeks with spontaneous ROM, multigravida with a history of 10-hour labors, and multigravida admitted for repeat elective cesarean section do not have potential maternal or fetal risk factors.

Nursing

You might also like to view...

A 3-year-old child is lying in a fetal position. The child has pale skin, glassy eyes, and a flat affect. The child is irritable, and refuses food and fluids

The child's vital signs are a temperature of 40.1ºC (104.2ºF), pulse of 120/minute, and respirations of 28/minute. The best, most comprehensive description of this child's condition is: 1. Toxic. 2. Feverish. 3. Flushed. 4. Tired.

Nursing

A client's labor has progressed so rapidly that a precipitous birth is occurring. The nurse should:

A. Go to the nurse's station and immediately call the physician. B. Run to the delivery room for an emergency birth pack. C. Stay with the client and ask for auxiliary personnel for assistance. D. Try to delay the delivery of the infant's head until the physician arrives.

Nursing

Mr. Y went to bed after his TV snacks and ice cream, which was not long after supper. How could this contribute to his weight gain?

Nursing

When administering PO medications, the nurse must plan how and when to administer the drug. What is not a factor when planning to administer a PO medication?

1. How long should the infusion last? 2. Can the medication be crushed? 3. Should the medication be given on an empty stomach? 4. Can the medication be split?

Nursing