Practice Quiz

CPM Certified Professional Midwife

Category - Prenatal

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A client at 30 weeks’ gestation is admitted to the unit due to severe pre - eclampsia. The client has a blood pressure of 170/120 mm Hg on admission and has been placed on bed rest. Hydrazaline is administered. After 24 hours, the client’s diastolic pressure continues to stay above 110 mm Hg. Which of the following actions by the midwife is the most appropriate?
  1. Confirm lung maturity through amniocentesis.
  2. Induce labor.
  3. Increase the dose of hydralazine.
  4. Monitor the fetal heart rate with an external fetal monitor.
Explanation
Answer: A - The most appropriate action of the midwife is to confirm lung maturity through amniocentesis. If the client’s diastolic pressure stays above the level of 110 mm Hg for more than a day, induced labor should be considered. If the pregnancy is less than 36 weeks along, an amniocentesis should be performed before inducing labor.
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