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Narutooooo Narutooooo
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6 years ago
The nurse has received end-of-shift reports in the high-risk maternity unit. Which patient should the nurse see first?
 
  1. The patient at 26 weeks' gestation with placenta previa experiencing blood on toilet tissue after a bowel movement
  2. The patient at 30 weeks' gestation with placenta previa whose fetal monitor strip shows late decelerations
  3. The patient at 35 weeks' gestation with grade I abruptio placentae in labor who has a strong urge to push
  4. The patient at 37 weeks' gestation with pregnancy-induced hypertension whose membranes ruptured spontaneously
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Replies
wrote...
6 years ago
1
Rationale 1: Bleeding with a placenta previa is a complication that can be life-threatening to both mother and baby. This patient is the highest priority.
Rationale 2: Late decelerations are an abnormal finding, but put only the fetus at risk. This patient is not the highest priority.
Rationale 3: Grade I abruptio placentae creates slight vaginal bleeding. The urge to push indicates that delivery is near. This patient is not the highest priority.
Rationale 4: Although pregnancy-induced hypertension puts a woman at risk for developing abruptio placentae, there is no indication that this patient is experiencing this complication. This patient is not the highest priority.
Narutooooo Author
wrote...
6 years ago
This puts a Slight Smile on my face
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