The nurse in a prenatal clinic finds that four patients have called with complaints related to their pregnancies. Which call should the nurse return first?
1. Primip at 7 weeks' gestation reporting nasal stuffiness
2. Multip at 38 weeks experiencing rectal itching and hemorrhoids
3. Primip at 15 weeks with nausea and vomiting and a 15-pound weight loss
4. Multip at 32 weeks treating constipation with prune juice
3
Rationale 1: Nasal stuffiness is common in the first trimester as a result of increased estrogen.
Rationale 2: Hemorrhoids are common during pregnancy, and often cause itching.
Rationale 3: The nurse should return this call first because this patient is the highest priority. A 15-pound weight loss is not an expected finding. A patient who has frequent vomiting is at risk for dehydration and electrolyte imbalances.
Rationale 4: Constipation during the third trimester is a common finding. Prune juice is a safe and gentle way to increase peristalsis and decrease constipation.
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