The antepartum clinic nurse is triaging telephone messages from four clients. Which call should the nurse return first?

Client at 6 weeks gestation reporting frequent urination.

Client at 25 weeks gestation reporting menstrual-like cramps.

Client at 30 weeks gestation reporting leg cramps while reclining.

Client at 36 weeks gestation reporting a reddened, pruritic lower abdominal rash.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Frequent urination is common in early pregnancy due to hormonal changes and increased blood flow to the pelvic area. It is not typically a sign of an urgent complication requiring immediate attention.

Choice B rationale

Menstrual-like cramps at 25 weeks gestation could indicate preterm labor, which is a potential emergency. Prompt evaluation is necessary to ensure the health and safety of both the mother and the fetus.

Choice C rationale

Leg cramps while reclining are common in later stages of pregnancy due to changes in circulation and increased pressure on the veins. They are usually not a sign of an urgent complication.

Choice D rationale

A reddened, pruritic lower abdominal rash could indicate a skin condition or allergic reaction, but it is generally not an urgent complication during pregnancy unless accompanied by other severe symptoms.

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Correct Answer is C

Explanation

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.

A. Ultrasonography. B. Human chorionic gonadotropin (HCG) levels. C. Nagele’s rule. D. Fundal height.

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.

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The antepartum clinic nurse is triaging telephone messages from four clients. Which call should the nurse return first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in an obstetric clinic has received messages from four clients. Which of the following clients should the nurse call first?

Correct Answer is C

Explanation

The nurse is interviewing a client who is pregnant in her first trimester, and the client inquires about their gestational age. The nurse understands which assessment will provide the most accurate gestational age?

Correct Answer is A

Explanation

A nurse is discussing probable signs of pregnancy with a newly licensed nurse. Which of the following terms should the nurse use to describe the movement of the fetus felt by the provider after placing upward pressure on the cervix?

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The antepartum clinic nurse is triaging telephone messages from four clients. Which call should the nurse return first?