A nurse on an antepartum unit is receiving change-of-shift report for four clients. Which of the following clients should the nurse assess first?
A client who is at 38 weeks of gestation and is experiencing painful urination
A client who is at 34 weeks of gestation and is experiencing epigastric pain and headache
A client who is at 12 weeks of gestation and is experiencing nausea and vomiting
A client who is at 39 weeks of gestation and is experiencing cramping and spotting
The Correct Answer is B
The client who is at 34 weeks of gestation and is experiencing epigastric pain and headache should be assessed first. These symptoms may indicate preeclampsia, which is a serious pregnancy complication characterized by high blood pressure and organ damage. The nurse should monitor the client's blood pressure and assess for signs of organ damage, such as proteinuria, visual disturbances, and epigastric or right upper quadrant pain. The other clients may also require assessment and intervention, but their symptoms are less urgent and may indicate less serious conditions, such as a urinary tract infection (painful urination), early pregnancy symptoms (nausea and vomiting), or early labor (cramping and spotting).
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Lentils. Lentils have the highest fiber content per cup compared to the other options. One cup of cooked lentils provides approximately 15.6 grams of fiber. Oatmeal provides approximately 4 grams of fiber per cup, asparagus provides approximately 3.6 grams of fiber per cup, and cabbage provides approximately 2.6 grams of fiber per cup. Increasing dietary fiber is an effective way to manage constipation during pregnancy, as it can promote bowel regularity and prevent complications such as hemorrhoids. The nurse can provide additional education on other high-fiber food options, the importance of drinking adequate fluids, and the need to increase physical activity to help manage constipation. 
Correct Answer is C
Explanation
make a loud noise above the newborn. The Moro reflex is elicited by making a loud noise above the newborn or allowing the newborn's head to drop slightly. The newborn will respond by extending and abducting the arms, and then bringing them back to the body, followed by crying. This reflex should be present in a term newborn and is an indication of neurological health.
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