Difficulty: Medium
Average Score: 72%
Simulated
Passage / Scenario
Gravida 4 Para 3, 31 weeks of gestation, client reports cramping and low back pain that started last night, FHTs 140 beats/min, Vital Signs: Temperature 36.8°C (98.2°F), Heart rate 88 bpm, Respiratory rate 18 breaths/min, Blood pressure 118/78 mmHg, Oxygen saturation 99% on room air, Uterine contractions noted every 10 minutes lasting 30 secondsThe nurse is contacting the provider regarding the client's status. Which of the following findings should the nurse include in the report? Select the 4 findings that the nurse should report
Correct answer
A,C,E,F
Rationale
A: The client is 31 weeks of gestation, which is preterm, critical for determining preterm labor risk. C: Contractions every 10 minutes lasting 30 seconds suggest preterm labor. E: Cramping and low back pain indicate potential preterm labor. F: FHR of 140 bpm is normal but necessary for monitoring fetal status.