Of all the patients who have been scheduled to have a biophysical profile, the nurse should check with the physician and clarify the order for which patient?
1. A gravida with intrauterine growth restriction
2. A gravida with mild hypertension of pregnancy
3. A gravida who is postterm
4. A gravida who complains of decreased fetal movement for 2 days
2
Rationale 1: The infant who has intrauterine growth problems might be compromised due to placental insufficiency.
Rationale 2: The biophysical profile is used when there is a risk of placental and/or fetal compromise. The gravida with mild hypertension will need to be monitored more closely throughout the pregnancy, but is not a candidate at present for a biophysical profile.
Rationale 3: The infant who is postterm might be compromised due to placental insufficiency.
Rationale 4: The gravida who is experiencing decreased fetal movement for 2 days needs assessment of the placenta and the fetus.
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