A nurse is providing teaching to a client who is at 6 weeks of gestation about manifestations of potential complications during pregnancy. For which of the following manifestations should the nurse instruct the client to notify the provider?
Swelling of gums
Burning during urination
White vaginal discharge
Occasional nosebleeds
The Correct Answer is B
Rationale:
A. Swelling of gums (gingivitis) is common in pregnancy due to hormonal changes and increased blood flow; it is not a danger sign.
B. Burning during urination indicates a urinary tract infection (UTI). Untreated UTIs increase the risk of pyelonephritis and preterm labor, so prompt medical evaluation and antibiotics are necessary.
C. White vaginal discharge (leukorrhea) is a normal physiological response to hormonal changes that maintain vaginal acidity; it does not require medical attention unless accompanied by odor, itching, or color changes.
D. Occasional nosebleeds are common in pregnancy due to increased vascularity and nasal mucosal congestion caused by elevated estrogen levels.
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Related Questions
Correct Answer is C
Explanation
Rationale:
A. Urinary output less than 30 mL/hr indicates possible hypovolemia or renal impairment. The minimum acceptable output is 30 mL/hr, not 20 mL/hr.
B. A palpable distended bladder suggests urinary retention, a postoperative complication, not an expected finding. The nurse should assess for bladder distention and notify the provider if present.
C. Reporting bleeding that saturates the client’s dressing is correct because excessive bleeding can indicate hemorrhage, a potentially life-threatening postoperative complication requiring immediate provider notification.
D. Maintaining a supine position for 24 hours can increase the risk for respiratory complications such as atelectasis and pneumonia. Postoperative clients should be encouraged to turn, cough, deep breathe, and ambulate early as tolerated.
Correct Answer is B
Explanation
. The nurse should check the medication label three times—when obtaining, preparing, and before administering.
B. Using two identifiers (e.g., name and date of birth) ensures correct patient identification per the Joint Commission National Patient Safety Goals.
C. Documentation should occur immediately after administration, not before, to avoid medication errors.
D. The accepted time frame is within 30 minutes of the scheduled time, not 3 hours.
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