What should be monitored closely in a patient experiencing coagulopathy?

Prepare for the NCC Inpatient Obstetric Nursing Certification Exam. Review questions with detailed explanations to strengthen your understanding and boost confidence. Ace your test with comprehensive study materials and expert insights!

In the context of a patient experiencing coagulopathy, urinary output is a critical parameter to monitor closely. Coagulopathy can lead to complications such as bleeding and can impact the renal function. Monitoring urinary output helps assess the patient's overall fluid balance and kidney function, which can be affected by severe bleeding or renal impairment due to hematological issues. A decrease in urinary output may indicate potential acute kidney injury or worsening coagulopathy, necessitating immediate medical attention.

While blood pressure, maternal temperature, and fetal heart rate are important vital signs in the overall management of obstetric patients, they do not specifically correlate as closely to coagulopathy-related complications as urinary output does. Blood pressure may change due to bleeding but is also influenced by multiple factors unrelated to coagulopathy. Maternal temperature could indicate infection, which isn't directly linked to coagulopathy itself. Monitoring fetal heart rate is crucial for the wellbeing of the fetus, but it does not directly provide insight into the mother's coagulation status or function. Thus, urinary output is the most pertinent measurement to capture the effects of coagulopathy on the patient.

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