Difficulty: Medium
Average Score: 70%
Simulated
Passage / Scenario
History and PhysicalNurses' Notes
Vital Signs
Diagnostic Results
Provider's Prescriptions
The client is gravida 4, term 3, preterm 0, abortions 0, living children 3 (GTPAL), at 37 weeks and 1 day gestation by 10-week ultrasound. She presents with contractions every 3 to 4 minutes for the past 2 hours. The vaginal examination reveals she is 4 cm dilated, 50% effaced, and at -3 station. Membranes are intact. Prenatal course is unremarkable, with normal laboratory results. The estimated fetal weight by Leopold's maneuver is 6 pounds (2.72 kg).
The nurse evaluates the client's progress. Review the findings below and determine if each one is normal or abnormal.
Correct answer
A
Rationale
Blood pressure (170/98 mmHg, A) is abnormal, suggesting preeclampsia. Pain (5/10, B), brief variable decelerations ', and magnesium sulfate infusion ' are normal in this context.