The nurse is caring for several pregnant patients. Which patient should the nurse anticipate is most likely to have a newborn at risk for mortality or morbidity?
1. 37-year-old G8 P2323, works in a chemical factory
2. 23-year-old primip, low socioeconomic status, unmarried
3. 16-year-old primip, began prenatal care at 30 weeks.
4. 28-year-old G2 P1001, history of gestational diabetes
1
Rationale 1: This patient is at greatest risk because she has multiple risk factors: age over 35, high parity, history of preterm birth, and exposure to chemicals that might be toxic.
Rationale 2: The main risk factor for this patient is her low socioeconomic status.
Rationale 3: This patient has two risk factors: young age and late onset of prenatal care.
Rationale 4: This patient's only risk factor is the history of gestational diabetes.
You might also like to view...
The nurse working in a gynecology office recognizes what sexual practice by a patient as a form of sexual expression that is illegal in the United States?
a. Public displays of affection b. Private sexual behavior c. Female circumcision d. Transgender surgery
The children of an older female adult ask the nurse for advice about helping their mother heal after her husband's death. Which strategy should the nurse share with the family?
a. Appoint one family member to take her on outings. b. Coordinate family expressions of care and concern. c. Have each child plan a long trip with her assistance. d. Take her to community events to meet other people.
The nurse is caring for a patient admitted with a drug overdose. What is the nurse's priority responsibility in caring for this patient?
A) Support the patient's respiratory and cardiovascular function. B) Provide for the safety of the patient. C) Enhance clearance of the offending agent. D) Ensure the safety of the staff.
The nurse is admitting a client to the medical–surgical unit following a cholecystectomy. Which intervention should the nurse perform first?
A) Dressing B) Drains C) Level of consciousness D) Skin color