A nurse in an obstetric clinic has received messages from four clients. Which of the following clients should the nurse call first?
A 33-year-old client who is pregnant and experiencing dysuria.
A 29-year-old client who is pregnant and experiencing nausea.
A 41-year-old client who is pregnant and experiencing no fetal movement.
A 35-year-old client who is pregnant and experiencing a cough.
The Correct Answer is C
Choice A rationale
Dysuria, while concerning, is typically less urgent compared to the complete absence of fetal movement, which can indicate fetal distress or demise.
Choice B rationale
Nausea is a common symptom during pregnancy and generally less urgent compared to the absence of fetal movement, which may indicate a serious issue.
Choice C rationale
No fetal movement is a critical concern as it may indicate fetal demise or severe distress requiring immediate assessment and intervention to ensure fetal well-being.
Choice D rationale
A cough in pregnancy can be bothersome but is generally not as urgent compared to the absence of fetal movement, which can indicate potential fetal demise.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","E"]
Explanation
Choice A rationale
Linea nigra, a dark line on the abdomen, appears due to increased melanocyte-stimulating hormone during pregnancy.
Choice B rationale
Eczema is not specifically associated with pregnancy and can occur independently of it.
Choice C rationale
Striae gravidarum, or stretch marks, are due to skin stretching and increased cortisone during pregnancy.
Choice D rationale
Psoriasis is not commonly related to pregnancy changes and occurs regardless of pregnancy.
Choice E rationale
Chloasma, also known as the mask of pregnancy, is due to increased pigmentation from hormonal changes.
Correct Answer is ["A","C","D"]
Explanation
Choice A rationale
Avoiding fried and spicy foods can reduce nausea by preventing gastric irritation and reflux, common in pregnancy due to hormonal changes. Ginger, bland foods are better alternatives.
Choice B rationale
Lying down after eating may exacerbate nausea and acid reflux due to the relaxation of the lower esophageal sphincter caused by pregnancy hormones. Remain upright for at least 30 minutes.
Choice C rationale
Eating dry crackers before getting out of bed helps stabilize blood glucose levels, reducing morning sickness. This is effective due to hormonal fluctuations affecting digestion in pregnancy.
Choice D rationale
Avoiding overfilling the stomach prevents excessive distension, reducing pressure on the stomach and lower esophageal sphincter, thus minimizing nausea and reflux. Smaller, frequent meals are recommended.
Choice E rationale
This choice is invalid, as it does not directly correlate with recommended nausea management strategies in pregnancy. Focus on dietary adjustments and hydration instead.
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