An Internal Fetal Monitor Has Been Ordered for Chrissy, a 24-Year-Old

question 8

Multiple Choice

An internal fetal monitor has been ordered for Chrissy, a 24-year-old G2P0010 at 38 weeks and 1 day gestation. Her medical history is significant for a history of pregnancy-induced hypertension. Her laboratory values are as follows: H/H 11/30, O negative, RPR negative, GBS positive. Based on Chrissy's history and presentation, what action should the nurse take next?

• A)Prepare Chrissy for the placement of an internal monitor.
• B)Take the required two blood pressure readings every 15 minutes prior to insertion of the internal fetal monitor due to her pregnancy-induced hypertension.
• C)Discuss with the health care provider the fact that Chrissy's blood type is O negative and she should therefore receive Rhogam before insertion of an internal monitor.
• D)Discuss with the health care provider that Chrissy is GBS positive and therefore should not receive an internal monitor.

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