0900: A 32-year-old G3P1 client at 34 weeks’ gestation presents with sudden-onset abdominal pain and dark red vaginal bleeding. She reports reduced fetal movement since this morning. The uterus is firm and tender to palpation. Fetal heart rate is 100 bpm with minimal variability. Her history includes mild preeclampsia and occasional tobacco use. BP is 144/92 mmHg, HR 104 bpm, T 98.7°F (37.0°C), and SpO₂ is 98% on room air.
0900: A 32-year-old G3P1 client at 34 weeks’ gestation presents with sudden-onset abdominal pain and dark red vaginal bleeding. She reports reduced fetal movement since this morning. The uterus is firm and tender to palpation. Fetal heart rate is 100 bpm with minimal variability. Her history includes mild preeclampsia and occasional tobacco use. BP is 144/92 mmHg, HR 104 bpm, T 98.7°F (37.0°C), and SpO₂ is 98% on room air.
1000: A stat transabdominal ultrasound was performed. Findings include a retroplacental hematoma consistent with partial placental abruption. Fetal heart rate remains at 100 bpm with minimal variability. No evidence of placenta previa. Provider notified of results.
0900: A 32-year-old G3P1 client at 34 weeks’ gestation presents with sudden-onset abdominal pain and dark red vaginal bleeding. She reports reduced fetal movement since this morning. The uterus is firm and tender to palpation. Fetal heart rate is 100 bpm with minimal variability. Her history includes mild preeclampsia and occasional tobacco use. BP is 144/92 mmHg, HR 104 bpm, T 98.7°F (37.0°C), and SpO₂ is 98% on room air.
1000: A stat transabdominal ultrasound was performed. Findings include a retroplacental hematoma consistent with partial placental abruption. Fetal heart rate remains at 100 bpm with minimal variability. No evidence of placenta previa. Provider notified of results.
1100: Client continues to report abdominal pain and decreased fetal movement. Moderate dark red vaginal bleeding is present. Uterus is firm and tender on palpation.
The nurse is anticipating the priority intervention for the client’s acute condition.
➢ Choose the most likely options for the information missing from the sentence by selecting from the lists provided.
The nurse anticipates that the priority intervention will be to [Begin oral tocolytic therapy / Initiate magnesium sulfate infusion / Administer corticosteroids / Prepare the client for emergency delivery] in response to the risk for [Fetal compromise / Postpartum infection / Maternal hypotension / Preterm rupture of membranes]
Sign in to reveal the correct answer & rationale
A free account unlocks answers for the preview questions in every exam. A pass unlocks all of them.