A nurse in an antepartum unit is triaging clients.
Which of the following clients should the nurse see first?
A client who is at 38 weeks of gestation and reports a cough and fever.
A client who is at 14 weeks of gestation and reports nausea and vomiting.
A client who is at 28 weeks of gestation and reports painless vaginal bleeding.
A client who has missed a period and reports vaginal spotting.
The Correct Answer is C
Choice A rationale
A cough and fever in a client at 38 weeks of gestation could indicate an infection, which should be addressed promptly. However, it is not as immediately life-threatening as painless vaginal bleeding at 28 weeks of gestation, which could indicate a serious complication such as placental abruption.
Choice B rationale
Nausea and vomiting at 14 weeks of gestation are common symptoms of early pregnancy and, while uncomfortable, are not usually a sign of a serious problem. This client should be seen, but not before a client with a potentially life-threatening condition like painless vaginal bleeding.
Choice C rationale
Painless vaginal bleeding at 28 weeks of gestation is a serious symptom that could indicate placental abruption, a condition where the placenta detaches from the uterus, which can be life-threatening for both the mother and the baby. This client should be seen first.
Choice D rationale
Vaginal spotting in a client who has missed a period could indicate early pregnancy or a number of other conditions. While this client should be seen to confirm the cause of the spotting, it is not as immediately urgent as painless vaginal bleeding at 28 weeks of gestation.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
While smoking during pregnancy can have many negative effects on a baby’s health, it is not specifically linked to hearing loss.
Choice B rationale
Type 1 diabetes mellitus is not caused by maternal smoking. It is an autoimmune condition where the body’s immune system destroys the cells that release insulin.
Choice C rationale
Congenital heart defects can have many causes, including genetic factors and certain maternal health conditions. However, they are not specifically linked to maternal smoking.
Choice D rationale
Smoking during pregnancy can cause intrauterine growth restriction. This is because nicotine and other harmful chemicals in cigarettes can cross the placenta and interfere with the baby’s blood supply. This can limit the amount of oxygen and nutrients the baby receives, leading to slower growth. Placental abruptionPlacental abruption Explore
Correct Answer is B
Explanation
Choice A rationale
The symptoms described do not typically align with conditions that would be treated with Prescription A. Prescription A might be used for a different set of symptoms or conditions.
Choice B rationale
The presence of small pinpoint open vesicles and pustules on the labia majora with clear drainage, along with a thick, mucopurulent vaginal discharge, could indicate a sexually transmitted infection or other type of infection. Prescription B might be an antibiotic or antiviral medication to treat the suspected infection.
Choice C rationale
The symptoms described do not typically align with conditions that would be treated with Prescription C. Prescription C might be used for a different set of symptoms or conditions.
Choice D rationale
The symptoms described do not typically align with conditions that would be treated with Prescription D. Prescription D might be used for a different set of symptoms or conditions.
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