The nurse is caring for a client at 35 weeks' gestation who has been critically injured in a shooting. Which statement by the paramedics bringing the woman to the hospital should cause the greatest concern?
1. Blood pressure 110/68, pulse 90.
2. Clear fluid is leaking from the vagina.
3. Client is positioned in a left lateral tilt.
4. Entrance wound present below the umbilicus.
Question 2
Which situation in the high-risk antepartal unit requires immediate intervention?
1. Fetal monitoring is being performed on a client in her third trimester who is scheduled for a cholecystectomy tomorrow.
2. A third-trimester client pregnant with twins who required an appendectomy yesterday is positioned in a supine position.
3. Oxygen is being administered at 2 L via nasal cannula to a client in her third trimester who underwent a urolithotomy today.
4. The client in her third trimester who returned from bowel resection surgery has a nasogastric tube attached to intermittent suction.
The nurse assists the patient in reflecting on his feelings
16 weeks old human fetus
Nurse collaboration
Nurse's hand over patients abdomen
To check pupillary reflexes the nurse first holds the penlight
Testing patellar reflex, client in a supine position