A pregnant client calls the ED stating that she is experiencing severe lower abdominal pain on her left side. She has not been seen for prenatal care, and only knows she had a positive pregnancy test two weeks ago. She states she has had a previous pregnancy last year without complications. The nurse answering the call tells her to come into the ED. When doing her intake history, the nurse will ask about
The Correct Answer is {"dropdown-group-1":"B"}
Given the client's symptoms of severe lower abdominal pain on the left side, the nurse should be concerned about a potential ectopic pregnancy, where the fertilized egg implants outside the uterus, commonly in the fallopian tube. This is a medical emergency, as it can lead to life-threatening complications if the tube ruptures.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Prenatal care history is important but not as urgent as membrane status and estimated delivery date.
B. Membrane status and estimated delivery date are critical for assessing the stage of labor and planning care.
C. Fasting blood sugar is relevant in diabetic patients but not an immediate priority.
D. Pain level and birth plan are important but secondary to assessing labor progress.
Correct Answer is C
Explanation
A. While assessing blood pressure is important, the first priority is to address potential uterine atony, which is the most common cause of postpartum hemorrhage.
B. Bladder distention could be a contributing factor, but uterine massage is the first step to manage uterine tone and control bleeding.
C. Massaging the fundus is the first action to take when the patient is saturating a pad quickly after delivery, as this helps stimulate uterine contractions to control bleeding.
D. Preparing to administer oxytocic medication may be necessary if uterine massage does not effectively control bleeding, but it should come after assessing the uterus.
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