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 A,B,C,D

Explanation

The correct sequence of maternal changes from first to last is:

Amenorrhea (A) – This is usually the first sign of pregnancy, occurring due to increased progesterone levels and the absence of a menstrual period.
Goodell’s sign (B) – This refers to the softening of the cervix, which typically occurs around 6-8 weeks of pregnancy due to increased vascularization.
Quickening (C) – This is the first perception of fetal movement by the mother, usually felt between 16-20 weeks of pregnancy.
Lightening (D) – This occurs late in pregnancy (around 37-40 weeks) when the fetus descends into the pelvis in preparation for birth.

So, the correct order is:
A → B → C → D.

A. "If your HIV testing comes back positive, your baby will be infected." B. "You may notice dark urine and a metallic taste caused by ceftriaxone." C. "After you take the azithromycin, do not consume any calcium-rich foods." D. "Let's discuss some options for notifying your sexual partners."

Correct Answer is D

Explanation

Choice B rationale: Ceftriaxone does not commonly cause dark urine or a metallic taste. These side effects are typically associated with other antibiotics, like metronidazole. The nurse should provide accurate information about medication side effects to maintain client trust.

Choice C rationale: Azithromycin absorption is not significantly affected by calcium intake. Unlike tetracyclines, which bind with calcium and reduce efficacy, azithromycin’s pharmacokinetics remain stable, ensuring the medication effectively treats the infection.

Choice D rationale: Discussing options for notifying sexual partners is essential for preventing the spread of sexually transmitted infections. It ensures that partners can seek testing and treatment, reducing the risk of re-infection and promoting overall community health.

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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 who is planning on becoming pregnant about the changes she should expect. Identify the sequence of maternal changes. Order from the first in appearance to last.

Correct Answer is A,B,C,D

Explanation

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?

Correct Answer is D

Explanation

A nurse in an obstetric clinic has received messages from four clients. Which of the following clients should the nurse call first?

At the initial prenatal visit, and often the subsequent visits, the health care provider will obtain a clean catch urine specimen to look for all of the following, except:

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?

The nurse is interviewing a client who is pregnant in her first trimester, and the client inquires about their gestational age. The nurse understands which assessment will provide the most accurate gestational age?

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?

Scenario: A nurse is caring for a 27-year-old female client in the clinic who is presumptively pregnant. Exhibits The nurse reviews the client's laboratory results. The nurse understands that the client is most likely experiencing which condition? Select all that apply.

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

A nurse is providing teaching to a client who is scheduled for an alpha-fetoprotein (AFP) test. Which of the following statements should the nurse include?