Difficulty: Medium
Average Score: 85%
Simulated
A nurse in an antepartum clinic is caring for four clients. Which of the following clients should the nurse assess first?
Correct answer
A
Rationale
The correct answer is A: A client who is at 34 weeks of gestation and reports double vision. This client should be assessed first because double vision can be a symptom of preeclampsia, a serious condition characterized by high blood pressure and signs of organ damage. Preeclampsia can lead to severe complications for both the mother and the baby if not promptly addressed. Therefore, it is crucial to assess this client immediately to rule out preeclampsia and provide appropriate intervention.
Choice B is incorrect because leg cramps are common discomforts in late pregnancy and do not indicate an urgent issue. Choice C is incorrect because excessive salivation, known as ptyalism, is typically benign and does not require immediate attention. Choice D is incorrect as periodic finger numbness is not a common sign of a serious condition in pregnancy.
In summary, the client reporting double vision at 34 weeks of gestation should be assessed first due to the potential severity of the underlying
Choice B is incorrect because leg cramps are common discomforts in late pregnancy and do not indicate an urgent issue. Choice C is incorrect because excessive salivation, known as ptyalism, is typically benign and does not require immediate attention. Choice D is incorrect as periodic finger numbness is not a common sign of a serious condition in pregnancy.
In summary, the client reporting double vision at 34 weeks of gestation should be assessed first due to the potential severity of the underlying