A nurse is caring for a group of clients on an antepartum unit.
Which of the following clients would be the nurse's priority?
A client admitted for preeclampsia at 34 weeks with a blood pressure of 138/82 mm Hg.
A client admitted for PPROM at 29 weeks with a temperature of 39.1°C (102.3°F).
A client admitted for hyperemesis gravidarum at 18 weeks gestation and reports nausea.
A client admitted for placenta previa at 35 weeks with no vaginal bleeding for the last 12 hours.
The Correct Answer is B
Choice A rationale
Preeclampsia is concerning but the blood pressure of 138/82 mm Hg is not critically high at this moment. Preeclampsia is diagnosed by new-onset hypertension and proteinuria or significant end-organ dysfunction in the latter half of pregnancy. Immediate intervention isn't necessary unless symptoms worsen.
Choice B rationale
PPROM (Preterm Premature Rupture of Membranes) at 29 weeks gestation with a temperature of 39.1°C (102.3°F) suggests a possible infection which can be life-threatening for both the mother and the fetus. Prompt medical attention is critical to manage the infection and prevent sepsis.
Choice C rationale
Hyperemesis gravidarum, while uncomfortable and requiring intervention, is less immediately threatening compared to a severe infection. It involves excessive vomiting leading to dehydration and weight loss but doesn't pose an acute threat as severe infection does.
Choice D rationale
Placenta previa with no vaginal bleeding for the last 12 hours indicates stability. However, any bleeding during pregnancy can be concerning and needs careful monitoring, but immediate intervention is not as crucial as for an infection.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Methotrexate is used for treating ectopic pregnancies and certain cancers, but it is not an antidote for Magnesium Sulfate toxicity.
Choice B rationale
Labetalol is a beta-blocker used for hypertension management in pregnancy, not for reversing Magnesium Sulfate toxicity.
Choice C rationale
Nifedipine is a calcium channel blocker used to manage high blood pressure and preterm labor, not for counteracting Magnesium Sulfate toxicity.
Choice D rationale
Calcium gluconate is the specific antidote for Magnesium Sulfate toxicity, effectively reversing its effects.
Correct Answer is D
Explanation
Choice A rationale
Ibuprofen is not recommended during pregnancy, especially in the later stages, as it can cause harm to the fetus and affect amniotic fluid levels.
Choice B rationale
While hydration is crucial for managing Hyperemesis Gravidarum, 0.9% Sodium Chloride alone won't address the underlying symptoms like nausea and vomiting effectively.
Choice C rationale
Magnesium Sulfate is typically used to prevent seizures in preeclampsia, not for Hyperemesis Gravidarum.
Choice D rationale
Pyridoxine (vitamin B6) is often recommended for Hyperemesis Gravidarum as it can help reduce nausea and vomiting.
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