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.

Answer and Explanation

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.

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Correct Answer is ["B","D","F"]

Explanation

Choice A rationale: Supplementing with formula is not always necessary for weight loss in newborns, as initial weight loss is typical. Regular breastfeeding usually suffices to regain birth weight, barring any medical issues. Overusing formula can impact breastfeeding success.

Choice B rationale: Newborns should be fed 8 to 12 times per day to ensure adequate nutrition and promote milk production. Frequent feeding also helps prevent engorgement and establishes a good breastfeeding routine, essential for both mother and baby.

Choice C rationale: Plastic-lined breast pads can trap moisture, which might exacerbate sore nipples. Using breathable, cotton pads is better for promoting healing and preventing infections. Proper latch techniques and frequent position changes are also vital for nipple comfort.

Choice D rationale: Meconium stools transition to yellow, seedy stools within a few days as the baby's digestion adjusts to milk intake. This stool color change is a sign that the baby is feeding well and effectively digesting breast milk.

Choice E rationale: While staying hydrated is essential for overall health, water intake alone does not directly increase milk supply. Milk production is primarily influenced by frequent and effective breastfeeding or pumping. Adequate nutrition and rest are also important.

Choice F rationale: When milk "comes in," typically between days 2 to 5 postpartum, breasts may become firmer, warmer, and more tender due to increased blood flow and milk production. This is a normal physiological response indicating a healthy lactation process.

A. Calculate the estimated date of birth. B. Obtain the client’s personal and family medical history. C. Obtain information about prior pregnancies. D. Check the client’s urine with a reagent strip. E. Schedule the client for prenatal laboratory testing. F. Discuss chorionic villus sampling with the client.

Correct Answer is ["A","B","C","D","E"]

Explanation

Choice A rationale

Calculating the estimated date of birth involves determining the gestational age. Gestational age is crucial for monitoring fetal development and timing prenatal care.

Choice B rationale

Obtaining the client’s personal and family medical history helps identify genetic risks, potential complications, and health conditions that may affect pregnancy and delivery.

Choice C rationale

Obtaining information about prior pregnancies provides insight into potential risks and outcomes. Previous pregnancy complications can indicate risks for the current pregnancy.

Choice D rationale

Checking the client’s urine with a reagent strip screens for urinary tract infections, protein, and glucose levels. UTIs can cause complications, while protein and glucose levels help monitor maternal health.

Choice E rationale

Scheduling the client for prenatal laboratory testing, such as blood work and ultrasounds, helps assess maternal and fetal health. Tests like blood type, Rh factor, and infectious diseases are essential for prenatal care.

Choice F rationale

Discussing chorionic villus sampling is not necessary at 18 weeks of gestation. CVS is typically performed between 10-13 weeks for early genetic testing.

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A nurse in an obstetric clinic has received messages from four clients. Which of the following clients should the nurse call first?

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Naxlex Comprehensive Predictor Exams

Correct Answer is ["B","D","F"]

Explanation

A nurse is caring for a client during an initial prenatal visit. The client’s last menstrual period was 18 weeks ago. Which of the following actions should the nurse plan to take?

Correct Answer is ["A","B","C","D","E"]

Explanation

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