Author Question: A woman pregnant with triplets is a patient in the high-risk OB unit. Which action by the nurse is ... (Read 61 times)

Sportsfan2111 · **on:** Jun 28, 2018

A woman pregnant with triplets is a patient in the high-risk OB unit. Which action by the nurse is most appropriate?

A.
Document serial, individual fetal monitor strips.
B.
Label the monitor lines in descending fetal order.
C.
Monitor the fetuses simultaneously with a triplet monitor.
D.
Obtain fetal monitor strips in presenting order.

Question 2

A pregnant patient with a long-standing history of cardiovascular disease is admitted to the high-risk OB unit. The patient will have internal continuous electronic fetal monitoring until delivery. Which action by the nurse takes priority?

A.
Assess the woman's vital signs every hour until delivery.
B.
Consult with the physician about prophylactic antibiotics.
C.
Educate the woman and partner about this modality.
D.
Prepare an infusion of magnesium sulfate (Sulfamag).

macmac · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: C
Fetal monitoring of multiples may be difficult, but triplet monitors are available and should be used, if possible, for triplets. This is preferable to obtaining serial, individual tracings. The fetuses are labeled in ascending order, with the presenting fetus labeled A. It is not necessary to monitor the fetuses in presenting order so long as they are clearly labeled.

Answer to Question 2

ANS: B
Internal electronic fetal monitoring is an invasive procedure that carries the risk of infection. Because the patient has a history of cardiac disease, the nurse should consult with the physician about antibiotics in case the woman is at risk for endocarditis. If the patient is stable and not in labor, hourly vital signs are not needed. Education is always an important responsibility, but patient safety and infection control are higher priorities. There is no indication that the woman needs magnesium sulfate.