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santielvira98 santielvira98
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6 years ago
The priority nursing intervention when admitting a pregnant client who has experienced a bleeding episode in late pregnancy is to:
 
  a. monitor uterine contractions.
  b. assess fetal heart rate and maternal vital signs.
  c. place clean disposable pads to collect any drainage.
  d. perform a venipuncture for hemoglobin and hematocrit levels.
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6 years ago
ANS: B
Assessment of the fetal heart rate (FHR) and maternal vital signs will assist the nurse in determining the degree of the blood loss and its effect on the client and fetus. Monitoring uterine contractions is important, but not the top priority. It is important to assess future bleeding, but the top priority is client and fetal well-being. The most important assessment is to check client and fetal well-being. The blood levels can be obtained later.
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