A nurse at an antepartum clinic is caring for four clients. Which of the following clients should the nurse assess first?
A client who is at 36 weeks of gestation and reports back pain following intercourse
A client who is at 8 weeks of gestation and reports severe vomiting
A client who is at 10 weeks of gestation and reports frequent urination
A client who is at 24 weeks of gestation and reports periodic tingling of the fingers
The Correct Answer is B
Rationale:
A. Back pain following intercourse at 36 weeks of gestation may be common and is not typically indicative of an urgent issue.
B. Severe vomiting in early pregnancy could indicate hyperemesis gravidarum, which may require immediate assessment and intervention to prevent dehydration and electrolyte imbalances.
C. Frequent urination at 10 weeks of gestation is common due to hormonal changes and increased pressure on the bladder from the growing uterus, but it does not typically require immediate assessment unless accompanied by other concerning symptoms.
D. Periodic tingling of the fingers at 24 weeks of gestation could be due to carpal tunnel syndrome, which is common in pregnancy but does not usually require urgent assessment unless severe or accompanied by other symptoms.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A.
Rationale:
A. Allowing the baby to feed at least every 3 hours helps ensure an adequate milk supply and supports newborn growth and development.
B. Timing for breastfeeding sessions can vary and should be guided by the baby's cues rather than a set time limit.
C. Breast milk provides all the hydration a newborn needs; offering water between feedings is unnecessary and may interfere with breastfeeding.
D. Newborns typically produce more than two to four wet diapers every 24 hours; this number may vary but is generally higher.
Correct Answer is B
Explanation
Rationale:
A. Gestational diabetes mellitus is not a contraindication for a contraction stress test.
B. A previous classical incision (a vertical uterine incision) increases the risk of uterine rupture during labor, making a contraction stress test contraindicated.
C. A previous stillbirth is not a contraindication for a contraction stress test.
D. A nonreactive nonstress test may indicate the need for further evaluation with a contraction stress test, but it is not a contraindication in itself.
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