A nurse is caring for a client who is 31 weeks of gestation….

Written by Anonymous on June 9, 2026 in Uncategorized with no comments.

Questions

A nurse is cаring fоr а client whо is 31 weeks оf gestаtion.Medical HistoryClient is 31 weeks of gestation, gravida 1. Admitted from the provider's office with a history of a low-lying placenta and active vaginal bleeding for 1 hr. There was a history of spotting at 12 weeks of gestation. Client was placed on bed rest for 2 months with pelvic rest. Vital SignsOral temperature: 36.4° C (97.7° F)Heart rate 110/minRespiratory rate: 18/minBlood pressure: 88/50 mm HgOxygen saturation: 96% on room airFetal heart rate: 180/minDiagnostic Results1000: Hct: 27% (> 33%)Hgb: 8 g/dL (> 11 g/dL)Platelet count: 90,000/mm³ (150,000 to 400,000/mm³)WBC count: 9,000/mm³ (5,000 to 10,000/mm³)Maternal blood type: O+ Ultrasonographic findings reveals:Placenta location is located in the lower uterine segment.Fetal position is vertex.Station of the presenting part is high.Medication Administration RecordAdminister Betamethasone 12 mg IM now and repeat in 24 hrNurses Notes0830: Client is admitted from provider's office. Client is at 31 weeks of gestation and reports active vaginal bleeding for the last hour. The client is admitted to the labor and birth unit. Abdomen is soft and nontender. The client denies abdominal pain.Perineal pad is saturated with bright red vaginal bleeding. Fetal heart tones 180/min (110 to 160 beats/min) with minimal variability and occasional late decelerations noted.Fundal height is 30 cm. Blood drawn for type and cross match.Which two (2) parameters should the nurse prioritize when assessing this client?

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