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 a carrier of sickle-cell trait
3. Dark red vaginal bleeding
4. History of domestic abuse
3
Rationale 1: Although the diastolic reading is slightly elevated, this blood pressure reading is not the top priority.
Rationale 2: The infant also might have sickle-cell trait, but it 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 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.
You might also like to view...
Researchers and subjects collaborate to produce and use knowledge in participatory action research
A) True B) False
In providing education about maintaining optimal bowel function, the nurse instructs the client to:
a. increase fluid intake. c. decrease ambulation. b. get plenty of rest. d. eat a low-fat diet.
Heparin 1500 units per hour is to be infused via a volumetric pump using an IV labeled 500 mL 0.9% sodium chloride with heparin 18,000 units. Calculate the flow rate in mL/hr
What will be an ideal response?
In the Family Life-Cycle Model, which task is identified for families with adolescents?
a. developing adult-to-adult relationships with children b. refocusing on midlife marital and career issues c. realigning relationships with extended family to include parenting and grandparenting roles d. differentiating self in relation to family of origin