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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Definitions:

Morphine

An opioid analgesic drug derived from the opium poppy, used primarily in medicine to relieve severe pain by depressing the central nervous system.

Abdominal Pain

Discomfort or ache in the abdomen area, which can be a symptom of various conditions ranging from benign to serious.

Pain Assessment

The process of evaluating and measuring the intensity, duration, and nature of pain, guiding management and treatment plans.

Tissue Damage

Tissue Damage refers to the physical harm or injury to body tissues, which can result from a variety of causes such as trauma, infection, or exposure to harmful substances.