Maternal Newborn Proctored Exam
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Maternal Newborn Proctored Exam
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Question: 1 of 52Maternal newborn proctored exam
A nurse is reviewing the diagnostic tests for a pregnant client. Which of the following tests should the nurse expect to monitor or perform as part of the client care plan?
Select all that apply
Explanation
The scenario requires an understanding of obstetric assessment and monitoring. Knowledge of prenatal diagnostics, physical assessment techniques for neurological and gestational health, and laboratory screening for infection or metabolic changes is necessary to identify appropriate nursing interventions within a comprehensive care plan. Choice A rationale Glucose tolerance tests screen for gestational diabetes mellitus by measuring blood glucose response to sugar loads. Normal fasting glucose is < 95 mg/dL. This monitors metabolic status and prevents maternal or neonatal complications during the pregnancy. Choice B rationale Assessing deep tendon reflexes evaluates neuromuscular irritability. It is crucial for clients at risk of preeclampsia or those receiving magnesium sulfate. Normal reflexes are 2+. Abnormal findings can indicate impending seizures or magnesium toxicity. Choice C rationale The non-stress test monitors fetal heart rate patterns in response to fetal movement. A reactive test shows two or more accelerations in twenty minutes. This non-invasive procedure assesses fetal well being and placental oxygenation. Choice D rationale A complete blood count monitors hemoglobin and hematocrit levels to detect anemia. Normal hemoglobin in pregnancy is > 11 g/dL. It also assesses white blood cell counts for infection and platelets for clotting disorders. Choice E rationale Vaginal examinations determine cervical dilation, effacement, and fetal station during labor. This assessment helps the nurse track labor progression. It is also used to evaluate for the rupture of membranes or presence of vaginal bleeding. Choice F rationale Urine dipsticks screen for proteinuria, glycosuria, and ketones. Proteinuria ≥ 1+ can indicate preeclampsia. Glucose in the urine may suggest diabetes. This bedside test provides immediate data regarding the client's renal and metabolic status.
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