234k views
0 votes
A nurse is reviewing the medical record for a client at 34 weeks of gestation. Based on the findings, the nursing plan should include which of the following actions?

a) Increase terbutaline dosage
b) Administer Rho(D) immune globulin every hour
c) Monitor fetal heart rate
d) Encourage early labor induction

User Kamilyrb
by
7.1k points

1 Answer

2 votes

Final answer:

The nursing plan for a client at 34 weeks of gestation should focus on monitoring fetal heart rate to ensure the fetus's health, as it's a crucial and standard prenatal care procedure.

Step-by-step explanation:

If a nurse is reviewing the medical record for a client at 34 weeks of gestation, based on the findings, the nursing plan should include monitoring fetal heart rate. This is a standard and essential part of prenatal care and is important for ensuring the ongoing health of the fetus. An increase in terbutaline dosage would generally be considered only in specific circumstances such as to manage preterm labor, which isn't indicated by the details provided. Administering Rho(D) immune globulin every hour is not standard practice; it is typically given during weeks 26-28 of pregnancy and within 72 hours after birth to prevent hemolytic disease of the newborn, particularly in Rh-negative mothers. Finally, encouraging early labor induction without medical necessity can pose risks to both the mother and the fetus and should be avoided unless there are clear indications that this is the best course of action for the health and safety of both.

User IInspectable
by
7.7k points