A nurse is collecting data from a client who is at 26 weeks of gestation and whose last appointment was 1 month ago. Which of the following findings should the nurse report to the provider?

Pedal edema

BP of 132/84 mm Hg

Weight gain of 1 kg (2.2 lb)

Double vision

Answer and Explanation

The Correct Answer is D

(a) Pedal edema
Pedal edema, or swelling of the feet and ankles, is a common finding during pregnancy due to increased fluid retention and pressure on the lower extremities from the growing uterus. While pedal edema should be monitored, it is not typically a concerning finding unless it is severe or accompanied by other symptoms suggestive of preeclampsia.

(b) BP of 132/84 mm Hg
A blood pressure of 132/84 mm Hg is within the normal range for pregnancy. However, if the client's blood pressure continues to increase or is accompanied by other symptoms of hypertension, such as proteinuria or headaches, it may warrant further evaluation.

(c) Weight gain of 1 kg (2.2 lb)
Weight gain during pregnancy is expected and can vary from person to person and from week to week. A weight gain of 1 kg (2.2 lb) over the course of a month is within the normal range for pregnancy and may not require immediate reporting to the provider unless there are other concerning symptoms.

(d) Double vision
Double vision (diplopia) can be a symptom of several conditions, including preeclampsia, which is a serious complication of pregnancy characterized by high blood pressure and proteinuria. Double vision can also be caused by other neurological or ophthalmologic conditions. Given its potential association with preeclampsia and other serious conditions, the nurse should promptly report double vision to the provider for further evaluation and management.

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Correct Answer is D

Explanation

(a) "I should place my baby in the car seat at a 90-degree angle."
The baby should not be placed in the car seat at a 90-degree angle. Instead, the car seat should be reclined at a 30- to 45-degree angle to keep the baby's airway open and reduce the risk of suffocation.

(b) "I will place a thick, soft pad behind my baby's back."
Using a thick, soft pad behind the baby’s back is not recommended because it can interfere with the harness system and compromise the safety of the car seat. Only products that come with the car seat or are specifically designed for it should be used.

(c) "I can turn the car seat so it faces forward when my baby weighs 15 pounds."
The car seat should remain rear-facing until the child reaches the maximum weight or height limit allowed by the car seat manufacturer, which is typically around 2 years of age or longer. Turning the car seat to face forward at just 15 pounds is too early and not safe.

(d) "I will place the retainer clip at the level of my baby's armpits."
This is correct. The retainer clip should be positioned at the level of the baby's armpits. This placement ensures that the harness straps are properly positioned over the baby's shoulders and chest, providing optimal protection in the event of a crash.

A. Acyclovir B. Metronidazole C. Tetracycline D. Amoxicillin

Correct Answer is D

Explanation

(a) Acyclovir
Acyclovir is an antiviral medication used to treat herpes simplex virus infections. It is not effective against chlamydia, which is a bacterial infection, so it would not be the appropriate treatment in this case.

(b) Metronidazole
Metronidazole is an antibiotic used to treat bacterial and protozoal infections, such as bacterial vaginosis and trichomoniasis. However, it is not effective against chlamydia, so it would not be the appropriate treatment in this case.

(c) Tetracycline
Tetracycline antibiotics, including doxycycline, are effective against chlamydia infections. However, tetracyclines are contraindicated during pregnancy due to their potential to cause adverse effects on fetal bone and tooth development.

(d) Amoxicillin
Amoxicillin is a penicillin antibiotic that is safe to use during pregnancy and is effective against chlamydia infections. It is often used as an alternative treatment for chlamydia in pregnant women who cannot tolerate tetracyclines. Therefore, it is the most appropriate medication to administer in this situation.

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A nurse is collecting data from a client who is at 26 weeks of gestation and whose last appointment was 1 month ago. Which of the following findings should the nurse report to the provider?

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