A pregnant client in the first trimester calls the nurse at a health care clinic and reports that they noticed white vaginal discharge, without odor or itching. The nurse should make which statement to the client?

The vaginal discharge maybe bothersome but is a normal occurrence

Use tampons if the discharge is bothersome but be sure to change the tampons every two hours

Report to the emergency department immediately

Come to the clinic immediately

Answer and Explanation

The Correct Answer is A

A. The vaginal discharge may be bothersome but is a normal occurrence: White vaginal discharge without odor or itching is common during early pregnancy due to hormonal changes. It is typically harmless unless accompanied by additional symptoms like itching or foul odor.

B. Use tampons if the discharge is bothersome but be sure to change the tampons every two hours: Tampons are not recommended during pregnancy as they can increase the risk of infections. The focus should be on alternative measures like using panty liners for comfort.

C. Report to the emergency department immediately: The discharge described is not abnormal or concerning. Emergency care is unnecessary unless the client experiences additional alarming symptoms such as bleeding, severe pain, or a strong odor.

D. Come to the clinic immediately: The discharge seems normal, so immediate clinic visits are not necessary unless there are other concerning symptoms. A phone call and reassurance would be more appropriate.

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Correct Answer is B

Explanation

A. G4 T2 P2 A1 L1: The client had one preterm birth at 26 weeks (P1), not two, and the miscarriage counts as an abortion (A1), not as a preterm or term birth. The classification for preterm births should be adjusted to P1, not P2. There is also one term delivery (T1) not two.

B. G4 T1 P1 A1 L1: The client has had 4 pregnancies (G4): one live birth at 38 weeks (T1), one preterm birth at 26 weeks that did not survive (P1), one miscarriage at 8 weeks (A1), and one living child (L1). This is the correct classification.

C. G3 T2 P1 A1 L1: This option is incorrect because the client has had 4 pregnancies, not 3. The correct count should be G4.

D. G3 T2 P1 A2 L1: This option is incorrect because the miscarriage counts as one abortion (A1), not A2, and the client has had 4 pregnancies, not 3. The client has also had one term delivery (T1) not two.

A. Notify the health care provider B. Immediately take the child's blood gas C. Give oxygen via face mask a 2 liters per minute D. Assess the child's respiratory status

Correct Answer is D

Explanation

A. Notify the health care provider: While notifying the healthcare provider may be necessary if the child's oxygen saturation does not improve, the first step is to assess the child's respiratory status to determine if immediate intervention is needed.

B. Immediately take the child's blood gas: A blood gas may be helpful later, but the priority should be to assess the child's respiratory status and address any immediate concerns with oxygenation before proceeding with more invasive assessments.

C. Give oxygen via face mask at 2 liters per minute: Administering oxygen may be necessary, but the nurse should first assess the child's respiratory status to determine if oxygen supplementation is required and the appropriate delivery method.

D. Assess the child's respiratory status: The most appropriate action is to assess the child's respiratory status. This includes checking for signs of distress, work of breathing, and other factors that could help determine the cause of the low oxygen saturation and guide the appropriate intervention.

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A pregnant client in the first trimester calls the nurse at a health care clinic and reports that they noticed white vaginal discharge, without odor or itching. The nurse should make which statement to the client?

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Naxlex Comprehensive Predictor Exams

Utilize the GTPAL system to classify the obstetrical history of a client who presents for their first prenatal appointment. Obstetrical history includes a vaginal delivery at 26 weeks of a newborn who did not survive, a miscarriage at 8 weeks, and one living child who was delivered at 38 weeks.

Correct Answer is B

Explanation

While caring for a 1-year-old child, the nurse notes that the child's oxygen saturation level is at 90%. Which action would the nurse take next?

Correct Answer is D

Explanation

The risk factors associated with child abuse are? Select all that apply

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