The nurse is admitting a patient to the labor and delivery unit. Which aspect of the patient's history requires notifying the physician?
1. Blood pressure 120/88
2. Father is a carrier of sickle-cell trait
3. Dark red vaginal bleeding
4. History of domestic abuse
Correct Answer: 3
Rationale 1: Blood pressure 120/88. Although the diastolic reading is slightly elevated, this is not the top priority.
Rationale 2: The infant also might have sickle trait, but sickle trait is not life-threatening at this time.
Rationale 3: Third-trimester bleeding is caused by either placenta previa or abruptio placentae. Dark red bleeding usually indicates abruptio placentae, which is life-threatening to both the mother and fetus.
Rationale 4: This patient is at risk for harm after delivery but is not in a life-threatening situation at this time. This is not the highest priority for the patient.
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