The primiparous client is at 42 weeks' gestation. What order should the nurse question?
1. Obtain biophysical profile today.
2. Begin non-stress test now.
3. Schedule labor induction for tomorrow.
4. Return to clinic in one week.
4
Rationale:
1. A biophysical profile is a commonly used assessment for the post-term fetus.
2. The non-stress test is a commonly used assessment for the post-term fetus.
3. Labor induction is likely to occur with post-term pregnancies because the aging placenta becomes less efficient at transporting oxygen and nutrients, and because the risk of fetal macrosomia increases with length of gestation.
4. A post-term pregnancy is high-risk. Fetal assessments must be obtained to verify fetal well-being or the need for delivery via induction or cesarean. One week is too long a time period between assessments.
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