The nurse has received end-of-shift reports in the high-risk ...

[Garrulous]

The nurse has received end-of-shift reports in the high-risk maternity unit. Which patient should the nurse see first?
 
  1. The patient at 26 weeks' gestation with placenta previa experiencing blood on toilet tissue after a bowel movement
  2. The patient at 30 weeks' gestation with placenta previa whose fetal monitor strip shows late decelerations
  3. The patient at 35 weeks' gestation with grade I abruptio placentae in labor who has a strong urge to push
  4. The patient at 37 weeks' gestation with pregnancy-induced hypertension whose membranes ruptured spontaneously

Question 2

A nonpregnant client is diagnosed with bacterial vaginosis (BV). What does the nurse expect to administer?
 
  1. Penicillin G 2 million units IM one time
  2. Zithromax 1 mg p.o. b.i.d. for 2 weeks
  3. Doxycycline 100 mg p.o. b.i.d. for a week
  4. Metronidazole 500 mg p.o. b.i.d. for a week

[fauacakatahaias]

Answer to Question 1

1
Rationale 1: Bleeding with a placenta previa is a complication that can be life-threatening to both mother and baby. This patient is the highest priority.
Rationale 2: Late decelerations are an abnormal finding, but put only the fetus at risk. This patient is not the highest priority.
Rationale 3: Grade I abruptio placentae creates slight vaginal bleeding. The urge to push indicates that delivery is near. This patient is not the highest priority.
Rationale 4: Although pregnancy-induced hypertension puts a woman at risk for developing abruptio placentae, there is no indication that this patient is experiencing this complication. This patient is not the highest priority.

Answer to Question 2

4
Explanation: 4. The nonpregnant woman who is diagnosed with bacterial vaginosis (BV) is treated with metronidazole 500 mg orally twice a day for 7 days.

[Garrulous]

TYSM

[tandmlomax84]

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