Difficulty: Medium
Average Score: 91%
Simulated
Passage / Scenario
Vital SignsHistory and Physical
Nurses' Notes
Day 1,0900:
Admission:
Temperature 38.4┬░ C (101.1┬░F)
Heart rate 92/min
Respiratory rate 18/min
Blood pressure 130/78 mm Hg
Pre-pregnancy BMI 27.6 Current BMI 29.9
Click to highlight the findings that require follow-up.
Correct answer
A,B,C,D
Rationale
To determine the correct answer, consider the key findings that require follow-up in a pregnant individual.
A: Preterm spontaneous vaginal birth at 30 weeks gestation - This finding indicates a significant concern that requires immediate attention and follow-up.
B: Uterine contractions every 8 minutes, palpate strong, duration 30 seconds - Strong, frequent contractions may indicate preterm labor, necessitating follow-up evaluation.
C: Minimal variability - Minimal variability in fetal heart rate can be a sign of fetal distress, necessitating further assessment.
D: Cervical exam indicates 2 cm, 50% effaced, 0 station - These cervical exam findings suggest progression towards labor, requiring monitoring.
The other choices do not provide immediate concerns that require follow-up in the same urgent manner as choices A, B, C, and D.
A: Preterm spontaneous vaginal birth at 30 weeks gestation - This finding indicates a significant concern that requires immediate attention and follow-up.
B: Uterine contractions every 8 minutes, palpate strong, duration 30 seconds - Strong, frequent contractions may indicate preterm labor, necessitating follow-up evaluation.
C: Minimal variability - Minimal variability in fetal heart rate can be a sign of fetal distress, necessitating further assessment.
D: Cervical exam indicates 2 cm, 50% effaced, 0 station - These cervical exam findings suggest progression towards labor, requiring monitoring.
The other choices do not provide immediate concerns that require follow-up in the same urgent manner as choices A, B, C, and D.