1. Mark returns for the next prenatal appointment with his…
1. Mark returns for the next prenatal appointment with his partner Joanne. Mark is now 28 weeks gestation. After completing the physical assessment for Mark, and reviewing the lab results available today the nurse notes the following. Please identify which health assessment findings or lab results require nursing follow-up (could be harmful to the client). Select all that apply.
Question 7 options:
Temperature = 36.8 C
HIV negative
50g OGTT PG 1 hour: 13 mmol/L
VDRL non reactive
Breath sounds clear in all fields
Blood pressure = 110/70
Heart rate = 88 beats / min
Fundal height 31 cm
HGB 112 g/L
Rh negative
FHR baseline 130 beats per minute
2
Based on these assessment findings, which of the following actions would the nurse take? Select all that apply.
Question 8 options:
Arrange a follow-up with Mark and Joanne in 2 weeks
Provide Rh IgG 300mcg today
Provide a referral to the dietitian
Discuss exercise recommendations
Discuss the recommendation for a baseline fetal assessment with enhanced fetal monitoring at this point in the pregnancy
Discuss with Mark and Joanne that insulin will need to be initiated right away
Discuss the next step in the glucose screening test as additional screening is required
Discuss the need for additional bloodwork to assess iron stores
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