The community nurse is working with a client at 32 weeks' ...

[Jipu 123]

The community nurse is working with a client at 32 weeks' gestation who has been diagnosed with preeclampsia. Which statement by the client would indicate that additional information is needed?
 
  1. I should call the doctor if I develop a headache or blurred vision.
  2. Lying on my left side as much as possible is good for the baby.
  3. My urine could become darker and smaller in amount each day.
  4. Pain in the top of my abdomen is a sign my condition is worsening.

Question 2

The nurse is monitoring a patient who is receiving an amnioinfusion. Which assessments must the nurse perform to prevent a serious complication? Note: Credit will be given only if all correct choices and no incorrect choices are selected.
 
  Select all that apply. 1. Color of amniotic fluid
  2. Maternal blood pressure
  3. Cervical effacement
  4. Uterine resting tone
  5. Fluid leaking from the vagina

[braelync]

Answer to Question 1

3
Explanation: 3. Oliguria is a complication of preeclampsia. Specific gravity of urine readings over 1.040 correlate with oliguria and proteinuria and should be reported to the physician.

Answer to Question 2

2,4,5
Rationale 1: The color of the amniotic fluid is not a critical assessment.
Rationale 2: Blood pressure should be monitored along with other vital signs.
Rationale 3: Cervical effacement is not directly related to the amnioinfusion.
Rationale 4: The uterine resting tone should be carefully monitored with an internal pressure electrode.
Rationale 5: The nurse should continually check to make sure the infused fluid is being expelled from the vagina so it does not build up in the uterus and cause rupture.

[Jipu 123]

TYSM

[tandmlomax84]

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