A pregnant client calls the nurse at the physician's office and ...

[Mollykgkg]

A pregnant client calls the nurse at the physician's office and reports that she has noticed a thin, colorless, vaginal drainage. Which of the following information would be most appropriate for the nurse to provide to the client?
 
  1. Come to the clinic immediately.
  2. Report to the emergency department at the maternity center immediately.
  3. The vaginal discharge may be bothersome but is a normal occurrence.
  4. Use tampons if the discharge is bothersome but be sure to change the tampons every 2 hours.

Question 2

The nurse would determine that tracheal suctioning is needed if which of the following is noted?
 
  1. Arterial oxygen level of 90 mm Hg
  2. Congested breath sounds in the lung fields
  3. Two hours elapsed since the last suctioning
  4. Respiratory rate of 18 breaths/min, up from 16 breaths/min

[TINA]

Answer to Question 1

3

Rationale: Many pregnant clients notice an increased thin, colorless or yellow vaginal discharge throughout pregnancy. The increase in the amount of discharge may be bothersome, but it is usually a normal occurrence. This occurrence does not require that the client report to the health care clinic or the emergency department immediately. If vaginal discharge is profuse, panty liners may be desirable; the client should not wear tampons, however, because they may increase the likelihood for development of an infection or toxic shock syndrome. If panty liners are used, they should be changed frequently.

Answer to Question 2

2

Rationale: Suctioning is indicated only when the client has adventitious breath sounds or has accumulation of secretions. It is not performed routinely according to time elapsed since the last suctioning (two hours elapsed since the last suctioning). Arterial blood gas results and respiratory rate (arterial oxygen level of 90 mm Hg and respiratory rate of 18 breaths/min, up from 16 breaths/min) are not good indicators of the need for suctioning because they may be influenced by a number of other factors in addition to the need for suctioning.

[Mollykgkg]

Gracias!

[daiying98]

TYSM