The antepartum clinic nurse is triaging telephone messages from four clients. Which call should the nurse return first?
Client at 6 weeks gestation reporting frequent urination.
Client at 25 weeks gestation reporting menstrual-like cramps.
Client at 30 weeks gestation reporting leg cramps while reclining.
Client at 36 weeks gestation reporting a reddened, pruritic lower abdominal rash.
The Correct Answer is B
Choice A rationale
Frequent urination is common in early pregnancy due to hormonal changes and increased blood flow to the pelvic area. It is not typically a sign of an urgent complication requiring immediate attention.
Choice B rationale
Menstrual-like cramps at 25 weeks gestation could indicate preterm labor, which is a potential emergency. Prompt evaluation is necessary to ensure the health and safety of both the mother and the fetus.
Choice C rationale
Leg cramps while reclining are common in later stages of pregnancy due to changes in circulation and increased pressure on the veins. They are usually not a sign of an urgent complication.
Choice D rationale
A reddened, pruritic lower abdominal rash could indicate a skin condition or allergic reaction, but it is generally not an urgent complication during pregnancy unless accompanied by other severe symptoms.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
21-day mixed type pills contain estrogen and progesterone, which can reduce milk supply in breastfeeding mothers and are not recommended.
Choice B rationale
Mixed type pills with estrogen and progesterone are not ideal for breastfeeding mothers as estrogen can interfere with milk production and affect milk quality.
Choice C rationale
Estrogen-only pills are not suitable for breastfeeding mothers as estrogen can decrease milk supply and affect infant feeding patterns, leading to poor weight gain in infants.
Choice D rationale
Progesterone-only pills are recommended for breastfeeding mothers as they do not affect milk supply and are safe for the infant while providing effective contraception.
Correct Answer is D
Explanation
Choice A rationale
Evaluating the fetal heart rate does not address maternal symptoms of supine hypotensive syndrome. Moving the client first corrects the underlying issue. Fetal evaluation can follow once maternal circulation improves, ensuring both are assessed.
Choice B rationale
Checking recent food and fluid intake does not immediately address the likely cause of supine hypotensive syndrome. Correcting maternal positioning is urgent to improve venous return and prevent adverse effects, then other assessments can follow.
Choice C rationale
Measuring blood pressure and pulse can confirm hypotension but does not address its cause. Immediate repositioning to lateral position alleviates the compression on the inferior vena cava, improving blood flow before measuring vitals.
Choice D rationale
Turning to a lateral position relieves the vena cava from compression by the gravid uterus, reducing symptoms of supine hypotensive syndrome. This action improves venous return, stabilizing maternal hemodynamics and alleviating dizziness and pallor.
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