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 C

Explanation

Choice A rationale

Estrogen is a hormone that plays a crucial role in the menstrual cycle and pregnancy. However, it is not the primary hormone that triggers ovulation.

Choice B rationale

Progesterone is a hormone that prepares the uterus for pregnancy after ovulation. It does not trigger ovulation.

Choice C rationale

Luteinizing Hormone (LH) is the hormone that triggers ovulation. A surge in LH levels causes the mature follicle in the ovary to burst and release an egg.

Choice D rationale

Prostaglandins are hormone-like substances involved in pain and inflammation. They do not trigger ovulation.

A. Hypertension B. Blunt force trauma C. Cigarette smoking D. Cocaine use

Correct Answer is A

Explanation

Choice A rationale

Hypertension is the most common risk factor for placental abruption. Placental abruption occurs when the placenta partly or completely separates from the inner wall of the uterus before delivery. This can decrease or block the baby’s supply of oxygen and nutrients and cause heavy bleeding in the mother. Chronic high blood pressure (hypertension) is a known risk factor for placental abruption.

Choice B rationale

While blunt force trauma can be a cause of placental abruption, it is not the most common risk factor. Trauma or injury to the abdomen can cause placental abruption, but hypertension is a more common risk factor.

Choice C rationale

Cigarette smoking is a known risk factor for placental abruption, but it is not the most common risk factor. Smoking during pregnancy can increase the risk of placental abruption, but hypertension is a more common risk factor.

Choice D rationale

Cocaine use is a known risk factor for placental abruption, but it is not the most common risk factor. Use of cocaine during pregnancy can increase the risk of placental abruption, but hypertension is a more common risk factor.

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

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Naxlex Comprehensive Predictor Exams

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