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    Pediatrics Proctored examQuestion 34
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    Pediatrics Proctored exam
    Select All That Apply

    A nurse admits a woman who is at 38 weeks of gestation and in early labor with ruptured membranes. The nurse determines that the client's oral temperature is 38.9° C (102° F). Besides notifying the provider, which of the following is an appropriate nursing action?

    Explanation & Rationale

    A. Amniotic fluid volume is assessed during a biophysical profile (BPP) because it reflects placental function and fetal well-being, and low levels can indicate chronic hypoxia or impaired kidney function. B. Fetal neck translucency is measured during the first trimester as part of screening for chromosomal abnormalities, not as part of a BPP. C. Fetal breathing movements are evaluated to assess neurologic and respiratory function, which are indicators of fetal health. D. Fetal motion is observed to determine activity level and neuromuscular integrity, which contribute to the BPP score. E. Fetal gender is not part of the BPP; it is determined by ultrasound if parents request it but does not provide information on fetal well-being.

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