Difficulty: Medium
Average Score: 73%
Simulated
Passage / Scenario
Nurses' NotesVital Signs
Laboratory results
Provider prescriptions
0900:
Client who is at 38 weeks of gestation presents to the antepartum unit with uterine contractions, dark red vaginal bleeding, and abdominal pain that started approximately 45 min prior to arrival. Rates abdominal pain a 7 on a scale of 0 to 10. Client reports, "My blood pressure has been high during the pregnancy."
Home Medications: prenatal multivitamin, methyldopa 250 mg PO twice daily
Physical Exam:
General: tearful, anxious
Cardiovascular: S1, S2, no murmur
Respiratory: bilateral breath sounds clear
Abdomen: Uterine hypertonicity with a board-like abdomen, tenderness noted upon palpation of left upper quadrant FHR: 116/min, minimal variability noted
Complete the following sentence by using the lists of options. The client is at risk of developing ___ due to the client ___ .
Correct answer
E
Rationale
The client is at risk of developing hypovolemic shock due to the client Blood loss. The client has dark red vaginal bleeding and low hemoglobin and hematocrit, indicating significant blood loss.