Which phone call should the prenatal clinic nurse return first?
1. Primipara at 32 weeks, reports headache and blurred vision
2. Primipara at 16 weeks, reports increased urinary frequency
3. Multipara at 18 weeks, reports no fetal movement this pregnancy
4. Multipara at 40 weeks, reports sudden gush of fluid and contractions
1
Explanation:
1. Headache and blurred vision are signs of preeclampsia, which is potentially life threatening for both mother and fetus. This client has top priority.
2. Increased urinary frequency is common during pregnancy as the increased size of the uterus puts pressure on the urinary bladder. Urinary frequency is expected. If the client were reporting dysuria or hematuria, a urinary tract infection (UTI) would be suspected, but this client is only reporting increased urinary frequency. This client is a lower priority.
3. Fetal movement should be felt by 19 to 20 weeks. Multiparas sometimes feel fetal movement prior to 19 weeks, but the lack of fetal movement prior to 20 weeks is considered normal. This client is a lower priority.
4. A term client who is experiencing contractions and a sudden gush of fluid is in labor. Although laboring clients should be in contact with their healthcare provider for advice on when to go to the hospital, labor at term is an expected finding. This client is a lower priority.
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