A woman has returned to the clinic for her second prenatal visit. ...

[roselinechinyere27m]

A woman has returned to the clinic for her second prenatal visit. Her blood pressure is significantly higher than on her previous visit. What action should the nurse do first?
 
  A.
  Administer oxygen and inform the provider.
  B.
  Ask the woman to lie down on the table.
  C.
  Ensure that the blood pressure cuff is the appropriate size.
  D.
  Take the blood pressure again.

Question 2

A 40-year old primigravida has undergone nuchal translucency screening. The results show a finding of 3.3 mm. What information should the nurse provide the parents?
 
  A.
  The fetus has an open neural tube defect.
  B.
  The fetus has an increased risk for genetic disorders.
  C.
  These results are inconclusive.
  D.
  These results are normal in an older mother.

[AISCAMPING]

Answer to Question 1

ANS: C
Taking and recording maternal vital signs is an important component of every prenatal visit. Because this blood pressure reading is significantly different, the nurse should first ensure that the correct-sized cuff is being used and that the situation (i.e., maternal position) is consistent with the last reading. There is no need for oxygen or to have the woman lie down, unless the nurse determines that the woman was lying down for her last blood pressure measurement. The nurse should not take the blood pressure again until those factors are verified.

Answer to Question 2

ANS: B
Nuchal translucency screening is performed between 11 and 14 weeks of gestation via ultrasound. A measurement greater than 3 mm indicates an increased risk for trisomies 13, 18, and 21.