Difficulty: Medium
Average Score: 82%
Simulated
Passage / Scenario
A nurse at an antepartum clinic is caring for four clients.Which of the following clients should the nurse assess first?
Correct answer
C
Rationale
The correct answer is C. The nurse should assess the client at 8 weeks of gestation reporting severe vomiting first as it may indicate hyperemesis gravidarum, a serious condition causing dehydration and electrolyte imbalances, risking maternal and fetal health. Severe vomiting can lead to complications like malnutrition and weight loss, affecting the developing fetus. Assessing this client first is crucial to provide immediate interventions and prevent further harm.
Other choices are less urgent: A - tingling fingers can be related to carpal tunnel syndrome common in pregnancy; B - back pain post-intercourse is common in late pregnancy due to pressure on the pelvis; D - frequent urination is a common early pregnancy symptom. These symptoms are not as concerning as severe vomiting, making choice C the priority.
Other choices are less urgent: A - tingling fingers can be related to carpal tunnel syndrome common in pregnancy; B - back pain post-intercourse is common in late pregnancy due to pressure on the pelvis; D - frequent urination is a common early pregnancy symptom. These symptoms are not as concerning as severe vomiting, making choice C the priority.