A nurse is preparing to administer a medication to a birthing person with a history of hypertension. What is the nurse's priority assessment before administering this medication?

Correct Answer: A

Rationale: The correct answer is A: Blood pressure and pulse rate. For a birthing person with a history of hypertension, it is crucial to assess their blood pressure and pulse rate before administering medication to ensure the medication does not exacerbate their hypertension. Monitoring these vital signs helps in determining the appropriateness and safety of the medication. Summary: - Choice B is incorrect because respiratory rate and oxygen saturation are not the priority assessments for a person with a history of hypertension. - Choice C is incorrect as temperature and urine output are not directly related to assessing the risk of exacerbating hypertension. - Choice D is incorrect as oxygen saturation and urine output are not the primary indicators of medication safety for someone with hypertension.

Correct Answer: B

Rationale: The correct answer is B because monitoring the patient's blood pressure and assessing for signs of worsening preeclampsia is crucial in managing the condition and preventing potential complications. At 36 weeks gestation, close monitoring is essential to detect any changes in the patient's condition promptly. Increasing fluid intake (choice A) may not be recommended for patients with preeclampsia due to the risk of fluid overload. Providing education about managing gestational diabetes (choice C) is irrelevant in this scenario. Administering pain relief (choice D) may provide temporary relief but does not address the underlying issue of worsening preeclampsia. Prioritizing blood pressure monitoring ensures timely intervention and management of preeclampsia to promote the well-being of both the patient and the baby.

Correct Answer: A

Rationale: The correct answer is A: Count fetal movements and report a decrease of more than 10 movements per day. This recommendation is evidence-based and aligns with guidelines for monitoring fetal well-being. Counting fetal movements helps assess fetal health, and a decrease in movements could indicate potential issues like fetal distress. Reporting a decrease of more than 10 movements per day ensures timely intervention if needed. Choice B is incorrect because waiting until after 32 weeks could delay necessary intervention if there are concerns about fetal movements. Choice C is incorrect as it dismisses the importance of monitoring fetal movements altogether. Choice D is incorrect as there is no requirement to always lie down or restrict monitoring to only after meals, which could lead to missed opportunities for detecting potential problems.

Correct Answer: B

Rationale: The correct answer is B: assist with vacuum extraction. This intervention is appropriate when prolonged pushing has not resulted in progress during labor. Vacuum extraction helps facilitate the delivery of the baby by applying suction to the baby's head to assist with pulling them out. It is less invasive than a cesarean section and forceps delivery, making it a safer option in this scenario. Performing a cesarean section (choices A and C) would be considered if vacuum extraction is unsuccessful or contraindicated due to specific factors. Forceps delivery (choice D) is another option but is generally considered more invasive and carries higher risks compared to vacuum extraction.

Correct Answer: B

Rationale: The correct answer is B: Monitoring blood glucose levels and maintaining a balanced diet. This is crucial for managing gestational diabetes, as it helps control blood sugar levels to prevent complications for both the mother and baby. Regular monitoring ensures timely adjustments to treatment. A balanced diet helps regulate blood sugar levels and provides essential nutrients for the baby's growth. Choice A is important but not as critical as monitoring blood glucose levels, as weight gain should be monitored but is not the primary focus in gestational diabetes. Choice C is not directly related to managing gestational diabetes. Choice D may be necessary in some cases, but it is not the most important aspect of care compared to monitoring blood glucose levels and diet.