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.

Answer and Explanation

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.

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

Explanation

Choice A rationale

Pregnancy generally leads to slower gastric emptying due to increased progesterone, but satiety is not directly slowed.

Choice B rationale

Increased progesterone levels during pregnancy slow gastric motility, leading to nausea, especially in the first trimester.

Choice C rationale

Vomiting is also common due to hormonal changes, specifically elevated human chorionic gonadotropin (hCG) levels.

Choice D rationale

Constipation occurs because increased progesterone reduces bowel motility and increases water absorption in the colon.

Choice E rationale

The growing uterus places pressure on the bladder, leading to increased urinary frequency.

Choice F rationale

Nocturia occurs as the kidneys filter more blood and the uterus compresses the bladder, especially in later stages of pregnancy.

Correct Answer is ["0503"]

Explanation

The correct answer is 0503.

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The antepartum clinic nurse is triaging telephone messages from four clients. Which call should the nurse return first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to a client about the gastrointestinal and genitourinary changes of pregnancy. Which of the following information should the nurse include?

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

Explanation

A nurse in a prenatal clinic is caring for a client who is pregnant and asks the nurse for her estimated date of birth (EDB). The client’s last menstrual period began on July 27. What is the client’s EDB? (State the date in MMDD. For example, July 27 is 0727) .

Correct Answer is ["0503"]

Explanation

Which statement below accurately describes the role of the ductus arteriosus?

The nurse is scheduling a hysterosalpingogram test for a patient. When planning the test, which of the following information from the patient’s history will be needed?

Scenario: A nurse is caring for a 27-year-old female client in the clinic who is presumptively pregnant. Exhibits Which two (2) client findings in the history and physical require further investigation?

The nurse reviews a client’s antepartum nonstress test results as reactive. The nurse interprets this finding as:

The nurse is teaching parents about antepartum testing. Which statements should the nurse include?

A nurse in a prenatal clinic is completing a skin assessment of a client who is in the second trimester. Which of the following findings should the nurse expect?

Scenario: A nurse is caring for a 27-year-old female client in the clinic who is presumptively pregnant. Exhibits The nurse is teaching the client about the treatment plan. Which statement by the nurse would be appropriate?