The nurse is assessing a client who reports vaginal bleeding at 20 weeks' gestation. What is the priority action?

Correct Answer: A

Rationale: Assessing the bleeding provides critical information to determine the next steps and evaluate potential complications.

Correct Answer: C

Rationale: A client with hyperemesis gravidarum and a sodium level of 110 mEq/L is at risk for severe dehydration and electrolyte imbalance, particularly hyponatremia (low sodium level). Hyponatremia can lead to serious complications such as seizures, coma, and even death if not promptly addressed. Therefore, this client should be assessed first to prevent any potential life-threatening conditions. The nurse should prioritize interventions to address the electrolyte imbalance and dehydration in this client to ensure their safety and well-being.

Correct Answer: B

Rationale: Prolonged stress and systemic racism contribute to higher rates of preeclampsia in Black pregnant individuals.

Correct Answer: A

Rationale: The priority action for a nurse to take when observing a slowing of the fetal heart rate after the start of a contraction, with the lowest rate occurring after the peak of the contraction, is to place the client in the lateral position. This position, specifically the left lateral position, can alleviate pressure on the vena cava, improve blood flow to the placenta, and help optimize fetal oxygenation. By changing the client's position, the nurse can potentially relieve the decelerations seen in the fetal heart rate and promote better oxygenation for the fetus. This intervention is effective and can be quickly implemented in a labor and delivery setting to support fetal well-being.

Correct Answer: C

Rationale: Maternal blood pressure monitoring is essential to detect and manage hypotension caused by epidural anesthesia.