A nurse in a prenatal clinic is collecting data from four clients. Which of the following findings is the nurse’s priority to report to the provider?
A.
Dysuria
B.
Varicose veins
C.
Gingivitis
D.
Leukorrhea
The Correct answer and Explanation is:
In the scenario where a nurse in a prenatal clinic is collecting data from four clients, the priority finding to report to the provider is A. Dysuria.
Explanation:
When assessing pregnant clients, the nurse must prioritize findings that may indicate potential complications for the mother or fetus. Dysuria, or painful urination, is a symptom that requires prompt attention because it may be indicative of a urinary tract infection (UTI). UTIs are common during pregnancy due to physiological changes such as urinary stasis and the dilatation of the ureters. If left untreated, a UTI can progress to more severe infections, such as pyelonephritis, which can lead to preterm labor, low birth weight, and other complications. Therefore, the nurse must report dysuria immediately to the provider for further evaluation and possible treatment.
Varicose veins are common in pregnancy due to increased blood volume, hormonal changes, and pressure from the growing uterus on the veins. While they can be uncomfortable, varicose veins are typically a benign condition that can be managed with conservative measures such as leg elevation, compression stockings, and regular exercise.
Gingivitis during pregnancy, also known as pregnancy gingivitis, is another common condition resulting from hormonal changes that increase blood flow to the gums, causing swelling and bleeding. Good oral hygiene and regular dental check-ups can manage this condition, and while it is important, it is not an urgent concern compared to dysuria.
Leukorrhea refers to an increase in vaginal discharge during pregnancy, which is normal due to elevated estrogen levels and increased blood flow to the pelvic area. This discharge helps prevent infections by maintaining a healthy vaginal environment. Unless the discharge is accompanied by itching, foul odor, or a change in color (which could indicate infection), leukorrhea is typically benign.
In summary, while all the listed findings are relevant to prenatal care, dysuria is the priority because it may signify a potentially serious infection that could adversely affect both the mother and the fetus. Therefore, it must be reported to the provider immediately for further evaluation and management.