A charge nurse on an obstetrical unit is preparing the shift assignment. Which of the following clients should be assigned to an RN who has floated from a medical-surgical unit?

The correct answer is A. A postoperative client with a PCA pump requires close monitoring for pain management, respiratory status, and potential complications. RNs with medical-surgical experience are familiar with managing postoperative pain, assessing for complications, and titrating pain medication. The other clients have specific obstetrical conditions that an RN with obstetrical experience would be better suited to manage. Choice B involves the management of preeclampsia and labor induction, which requires knowledge of obstetrical medications and interventions. Choice C involves monitoring for gestational diabetes and fetal well-being, which requires knowledge of antepartum care and fetal assessment. Choice D involves managing premature rupture of membranes, which requires knowledge of obstetrical assessments and interventions. Overall, assigning the postoperative client to an RN with medical-surgical experience ensures appropriate care and close monitoring of potential complications.