The nurse identifies the following assessment findings on a client with preeclampsia: blood pressure 158/100; urinary output 50 mL/hour; lungs clear to auscultation; urine protein 1+ on dipstick; and edema of the hands, ankles, and feet.
On the next hourly assessment, which of the following new assessment findings would be an indication of worsening of the preeclampsia? A. Blood pressure 158/104
B. Urinary output 20 mL/hour
C. Reflexes 2+
D. Platelet count 150,000
Question 2
During her first prenatal visit to the clinic at seven weeks' gestation, a 24-year-old primiparous client comments, My blood type is A negative, and my husband's blood type is B positive.
Will that cause problems with my pregnancy? The nurse's best response would be: A. There is no danger to your baby, but there could be a few minor complications for you. Let's talk about what we can do to prevent those.
B. We will do a blood test to see if your body is responding to the baby's blood type. If so, we will give the baby some medication to prevent harm.
C. Because your partner is positive and you are negative, there is some risk to the baby, but because this is your first pregnancy the risks are very small.
D. If you were O negative, you might have ABO incompatibility because of your partner's blood type; but since you are type A, there should be no problem.
The tone of the nurse-patient introduction sets the stage for the patient interview and patient care
Focusing Jets by Pressure
Lightly squeeze along each finger applying pressure first near the knuckle and then moving along the ...
Apply passive touch over the eyes and cheeks to finish. Place the hands, using very light pressure, ...
Position the client
Structural comparison of human blood vessels and the direction of blood flow through them