A nurse is caring for a client who is at 32 weeks of gestati…

Written by Anonymous on April 29, 2026 in Uncategorized with no comments.

Questions

A nurse is cаring fоr а client whо is аt 32 weeks оf gestation. Medical History 0800: A client who is gravida 4, para 3, at 32 weeks of gestation presents to the antepartum clinic with reports of dark red vaginal bleeding and saturating two peri pads in the past 2 hr.  Client reports abdominal pain. Abdomen is rigid and tender to palpation.  Client has a history of preeclampsia.  Client smokes 1 pack of cigarettes each day.  Vital Signs 0800: Oral temperature 36.7 °C (98.0 °F)  Heart rate 100/min  Respiratory rate 20/min  Blood pressure 100/50 mm Hg  SaO2 96% on room air (>95%) 0830: Heart rate 105/min  Respiratory rate 20/min  Blood pressure 90/52 mm Hg  SaO2 96% on room air (>95%)     0900: Heart rate 115/min  Respiratory rate 22/min  Blood pressure 86/50 mm Hg  SaO2 95% on room air (>95%)       Nurses Notes 0800: Client placed on electronic fetal monitor and positioned to the left lateral side. Fetal heart tone 170/min, minimal variability noted. Abdomen firm/rigid and tender to palpation. Saturated peri pad noted with dark red vaginal bleeding. Peri care provided; pad changed.  0830: Fetal heart tone 180/min, uterine contractions noted every 1 to 2 min, 60 second duration,  strong to palpation, uterine tone remains hard between contractions. Client reports pain as 8 on a scale of 0 to 10. Facial grimacing and moaning noted. Peri pad saturated with dark red vaginal bleeding. Peri care provided; pad changed. Provider contacted, report given, prescription received  0845: 16-gauge IV catheter inserted into right hand and connected to lactated Ringer’s at 125 mL/hr. Client tolerated procedure well. Blood collected and sent to lab.  0855: Indwelling urinary catheter insert without difficulty, 100 mL of amber urine noted. Fetal heart tone 180’s with no variability noted, late decelerations noted. Uterine contractions every 1 to 2 min. 40 to 70 duration and strong to palpation, uterine tone remains hard between contractions.  0900: Provider noted of client's status, vital signs, and diagnostic test. Provider on way to examine the client.    Provider's Prescriptions 0800: Admit to antepartum unit  Continuous fetal monitoring  Vital signs per protocol  0830: Hgb, Hct, and platelet count  Strict I&O  Initiate 16 gauge IV with lactated Ringer's at 125 mL/hr  Insert indwelling urinary catheter  0900: Prepare for cesarean birth    Diagnostic Results 0900: Hgb 8 g/dL (12 to 16 g/dL)  Hct 27% (greater than 33%)  Platelet count 100,000/mm³ (150,000 to 400,000/mm³)    A nurse reviews the assessment findings and determines the findings are consistent with which of the following complications? For each finding, click to specify if the assessment findings is consistent with placenta previa or abruptio placentae. Each finding may support more than one disease process.   Assessment Findings Abdominal pain level  [pain] Abdominal assessment [assessment] Description of vaginal bleeding [bleeding] Uterine tone [tone] Hemoglobin level [hgb]  

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