A primigravid client with diabetes at 39 weeks’ gestation is…
A primigravid client with diabetes at 39 weeks’ gestation is seen in the high-risk clinic. The primary healthcare provider (HCP) estimates that the fetus weighs at least 10 lb (4,500 g). The client asks, “What causes the baby to be so large?” The nurse’s response is based on the understanding that fetal macrosomia is most related to which factor?
Read DetailsA first-time breastfeeding mother on postpartum day 1 expres…
A first-time breastfeeding mother on postpartum day 1 expresses concern that her breast milk “hasn’t come in yet” and that the thick, yellowish fluid her baby is getting “can’t be enough” for her newborn. Which response by the nurse provides the most accurate education?
Read DetailsA client at 4 hours postpartum following a cesarean delivery…
A client at 4 hours postpartum following a cesarean delivery for placental abruption develops oozing from IV insertion sites, hematuria through the Foley catheter, and petechiae on the extremities. Laboratory results reveal thrombocytopenia, prolonged PT and PTT, decreased fibrinogen levels, and markedly elevated D-dimer levels. The nurse recognizes these findings as most consistent with which complication, and what is the most likely underlying cause?
Read DetailsA client at 34 weeks gestation with severe preeclampsia is r…
A client at 34 weeks gestation with severe preeclampsia is receiving a magnesium sulfate infusion. The nurse’s most recent assessment reveals: respiratory rate 10/min, patellar deep tendon reflexes absent, urine output 20 mL over the past hour, and the client reports feeling drowsy. Which action should the nurse take first?
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