A nurse in an obstetric clinic has received messages from four clients. Which of the following clients should the nurse call first?
A 33-year-old client who is pregnant and experiencing dysuria.
A 29-year-old client who is pregnant and experiencing nausea.
A 41-year-old client who is pregnant and experiencing no fetal movement.
A 35-year-old client who is pregnant and experiencing a cough.
The Correct Answer is C
Choice A rationale
Dysuria, while concerning, is typically less urgent compared to the complete absence of fetal movement, which can indicate fetal distress or demise.
Choice B rationale
Nausea is a common symptom during pregnancy and generally less urgent compared to the absence of fetal movement, which may indicate a serious issue.
Choice C rationale
No fetal movement is a critical concern as it may indicate fetal demise or severe distress requiring immediate assessment and intervention to ensure fetal well-being.
Choice D rationale
A cough in pregnancy can be bothersome but is generally not as urgent compared to the absence of fetal movement, which can indicate potential fetal demise.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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 A
Explanation
Choice A rationale
Ultrasonography provides the most accurate assessment of gestational age, especially in the first trimester, by measuring the crown-rump length.
Choice B rationale
HCG levels can indicate pregnancy but are not as accurate for determining the exact gestational age.
Choice C rationale
Nagele's rule is based on the menstrual cycle and may not be accurate if cycles are irregular.
Choice D rationale
Fundal height measurement is less accurate in early pregnancy and more useful in later trimesters.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.