The nurse is working in an outpatient clinic. Which patient's indications most warrant fetal monitoring in the third trimester?

Question

1. Gravida 4, para 3, 39 weeks, with a history of one spontaneous abortion at 8 weeks
2. Gravida 1, para 0, 40 weeks, with a history of endometriosis and a prior appendectomy
3. Gravida 3, para 2, with a history of gestational diabetes controlled by diet
4. Gravida 2, para 1, 36 weeks, with hypertension disorder of pregnancy

Answer 1

4
Rationale 1: The patient with the spontaneous abortion would have needed to be monitored in the first trimester.
Rationale 2: The patient with endometriosis and appendectomy would have been a concern with conception.
Rationale 3: The patient with a history of gestational diabetes controlled by diet would need maternal monitoring and fetal monitoring if she developed gestational diabetes again.
Rationale 4: The preterm patient with a pregnancy-associated disorder needs close monitoring for preterm labor onset or the need to induce preterm labor.