A nurse in an antepartum unit is triaging clients.
Which of the following clients should the nurse see first?

A client who is at 38 weeks of gestation and reports a cough and fever.

A client who is at 14 weeks of gestation and reports nausea and vomiting.

A client who is at 28 weeks of gestation and reports painless vaginal bleeding.

A client who has missed a period and reports vaginal spotting.

Answer and Explanation

The Correct Answer is C

Choice A rationale

A cough and fever in a client at 38 weeks of gestation could indicate an infection, which should be addressed promptly. However, it is not as immediately life-threatening as painless vaginal bleeding at 28 weeks of gestation, which could indicate a serious complication such as placental abruption.

Choice B rationale

Nausea and vomiting at 14 weeks of gestation are common symptoms of early pregnancy and, while uncomfortable, are not usually a sign of a serious problem. This client should be seen, but not before a client with a potentially life-threatening condition like painless vaginal bleeding.

Choice C rationale

Painless vaginal bleeding at 28 weeks of gestation is a serious symptom that could indicate placental abruption, a condition where the placenta detaches from the uterus, which can be life-threatening for both the mother and the baby. This client should be seen first.

Choice D rationale

Vaginal spotting in a client who has missed a period could indicate early pregnancy or a number of other conditions. While this client should be seen to confirm the cause of the spotting, it is not as immediately urgent as painless vaginal bleeding at 28 weeks of gestation.

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Correct Answer is A

Explanation

Based on your last menstrual period (LMP) of May 4, 2022, your estimated date of delivery (EDD) would be around February 11, 2023."

Rationale:

Calculating the Estimated Date of Delivery (EDD): The EDD can be calculated using Naegele's Rule, which is a standard method used to estimate the due date. The rule involves subtracting three months from the first day of the last menstrual period (LMP), adding seven days, and adjusting the year if necessary.
Application of Naegele’s Rule:
- Start with the first day of the LMP: May 4, 2022.
- Subtract three months: February 4, 2022.
- Add seven days: February 11, 2022.
- Since the year needs to be adjusted, the EDD is February 11, 2023.

Key Points:

Naegele’s Rule is commonly used but assumes a 28-day menstrual cycle and ovulation on the 14th day. Variations in cycle length can affect the accuracy.

A. “Vitamin E requirements decline during pregnancy due to the increase in body fat.” B. “You will need to double your intake of iron during pregnancy.” C. “You will need to increase your calcium intake during breastfeeding.” D. “Prenatal vitamins will meet your need for increased vitamin D during pregnancy.”

Correct Answer is D

Explanation

Choice A rationale

Vitamin E is an important nutrient during pregnancy as it acts as an antioxidant, helping to protect cells from damage. However, its requirements do not decline during pregnancy due to an increase in body fat.

Choice B rationale

While iron is an important nutrient during pregnancy, it’s not necessary to double your intake. Iron needs do increase during pregnancy because it’s needed to make more blood to supply oxygen to the baby. However, this should be managed under the guidance of a healthcare provider.

Choice C rationale

While it’s true that calcium intake should be increased during breastfeeding, this is not specifically related to nutrition during pregnancy. During pregnancy, adequate calcium intake is important for the development of the baby’s bones and teeth.

Choice D rationale

Prenatal vitamins are designed to meet the increased nutritional needs of pregnancy, and they include a variety of vitamins and minerals. One of these is vitamin D, which helps the body absorb calcium and is important for the baby’s bone growth. Therefore, taking prenatal vitamins can indeed help to meet the need for increased vitamin D during pregnancy.

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A nurse in an antepartum unit is triaging clients.Which of the following clients should the nurse see first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a prenatal clinic is caring for a client who asks what her estimated date of delivery will be if her last menstrual period was May 4, 2022. Which of the following is the appropriate response by the nurse?

Correct Answer is A

Explanation

Rationale:

Key Points:

A nurse is providing teaching about nutrition to a client at her first prenatal visit. Which of the following statements by the nurse should be included in the teaching?

Correct Answer is D

Explanation

A nurse is providing preconception counseling for a client who is planning a pregnancy.Which of the following supplements should the nurse recommend to help prevent neural tube defects in the fetus?

A nurse is completing a health history for a client who is at 6 weeks of gestation.The client informs the nurse that she smokes one pack of cigarettes per day.The nurse should advise the client that smoking places the client’s newborn at risk for which of the following complications?

When assessing a patient’s understanding of symptoms to report during her pregnancy, which statement would indicate to the nurse that the patient comprehends the information provided?

A nurse is providing teaching to a client who is pregnant and has phenylketonuria (PKU). Which of the following foods should the nurse instruct the client to eliminate from her diet?

A nurse is about to measure the fundal height of a patient who is 22 weeks pregnant. Where should the nurse anticipate feeling the fundus?

During a care conference, a nurse shares the latest research on improving breastfeeding success for first-time mothers. Which Quality and Safety Education for Nurses competency does this action support?

A nurse is admitting a client who is 33 weeks pregnant and diagnosed with placenta previa. What is the priority nursing action?

A nurse in a community clinic is counseling a client who received a positive test result for chlamydia.Which statement should the nurse make?

A nurse in an antepartum unit is triaging clients.
Which of the following clients should the nurse see first?