Nursing interventions and Management
Nursing interventions and Management ( 5 Questions)
A nurse is preparing a client with gestational hypertension for delivery.
Which of the following factors would indicate that the client is ready for delivery?
Blood pressure that is uncontrollable despite medication can lead to complications such as preeclampsia, eclampsia, or HELLP syndrome.
Fetal distress detected by nonstress test or biophysical profile can indicate hypoxia, acidosis, or cord compression.
Term is reached (37 weeks or more) does not necessarily mean that the client is ready for delivery. Other factors such as cervical dilation, effacement, and station also need to be considered.
All of these factors would indicate that the client is ready for delivery because they pose a risk to the mother or the fetus or both.
The correct answer is choice D. All of the above.
All of these factors would indicate that the client is ready for delivery because they pose a risk to the mother or the fetus or both.
Choice A is wrong because blood pressure that is uncontrollable despite medication can lead to complications such as preeclampsia, eclampsia, or HELLP syndrome.
Choice B is wrong because fetal distress detected by nonstress test or biophysical profile can indicate hypoxia, acidosis, or cord compression.
Choice C is wrong because term is reached (37 weeks or more) does not necessarily mean that the client is ready for delivery. Other factors such as cervical dilation, effacement, and station also need to be considered.
Normal ranges for blood pressure are 120/80 mmHg or lower for systolic and 80/60 mmHg or lower for diastolic. Normal ranges for nonstress test are two or more fetal heart rate accelerations of at least 15 beats per minute above baseline lasting at least 15 seconds in a 20-minute period. Normal ranges for biophysical profile are a score of 8 to 10 out of 10 based on five parameters: fetal breathing movements, fetal movements, fetal tone, amniotic fluid volume, and nonstress test.