As a nurse in an antepartum unit performing triage, which client should be prioritized?

A client who has missed a menstrual cycle and reports vaginal spotting.

A client who is at 28 weeks of gestation and reports painless vaginal bleeding.

A client who is at 38 weeks of gestation and reports symptoms of a cough and fever.

A client who is at 14 weeks of gestation and reports experiencing nausea and vomiting.

Answer and Explanation

The Correct Answer is B

Choice A rationale
Missing a menstrual cycle and reporting vaginal spotting could indicate early pregnancy or other non-emergency conditions. While this client should be evaluated, it is not the highest priority.
Choice B rationale
A client at 28 weeks of gestation reporting painless vaginal bleeding could be experiencing placenta previa or placental abruption, both of which are obstetric emergencies. This client should be prioritized for immediate evaluation.
Choice C rationale
A client at 38 weeks of gestation reporting symptoms of a cough and fever may have an upper respiratory infection. While this should be evaluated, it is not the highest priority unless the client is in distress.
Choice D rationale
Nausea and vomiting are common in early pregnancy. A client at 14 weeks of gestation reporting these symptoms would need evaluation, but it is not the highest priority.

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Correct Answer is D

Explanation

The correct answer is D. Slightly above the umbilicus. At 22 weeks of gestation, the fundus, or top of the uterus, is typically located slightly above the umbilicus.

A. G4 T1 P2 A0 L3 B. G4 T2 P1 A0 L3 C. G4 T3 P1 A0 L3 D. G4 T1 P1 A0 L4

Correct Answer is D

Explanation

G (Gravida): Total number of pregnancies → 4
T (Term births): Delivered at 37 weeks or more → One (39 weeks) → T = 1
P (Preterm births): Delivered between 20–36 weeks → Twins (34 weeks, 1 pregnancy) + One at 35 weeks = 2 preterm pregnancies → P = 2
A (Abortions): Pregnancies ending before 20 weeks → 0
L (Living children): One from term birth, two from twins, and one from the other preterm = 4 living children → L = 4

Correct Answer: D. G4 T1 P2 A0 L4

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As a nurse in an antepartum unit performing triage, which client should be prioritized?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to measure the fundal height of a client who is at 22 weeks of gestation. At which location should the nurse expect to palpate the fundus?

Correct Answer is D

Explanation

Correct Answer is D

Explanation

Correct Answer: D. G4 T1 P2 A0 L4

A nurse is monitoring a patient who is receiving magnesium sulfate to manage pre-eclampsia. Which of the following observations should the nurse report to the healthcare provider?

A nurse is preparing an in-service program about preventing medication errors when transcribing a prescription. The nurse is using a dosage example of two tenths of a milligram. Which of the following examples should the nurse use to show appropriate transcription of this dosage?

A nurse is assessing a client who is pregnant for preeclampsia. Which of the following findings should indicate to the nurse that the client requires further evaluation for this disorder?

A nurse is caring for a client who is at 36 weeks of gestation and suspected of having placenta previa. Which of the following symptoms would support this diagnosis?

A nurse is preparing to administer methylergonovine IM to a client who has just had a vaginal delivery. The nurse should inform the client that this medication is intended to prevent which of the following conditions?

A client is due to receive a subcutaneous injection of enoxaparin, 30 mg. How many mL should the nurse administer if the answer is to be rounded to the nearest tenth? (Use a leading zero if applicable.

A nurse in a healthcare provider’s office is caring for a patient who is at 34 weeks of gestation and at risk for placental abruption. The nurse should recognize that which of the following is the most common risk factor for abruption?