Question

A nurse in an antepartum clinic is assessing a client who is at 32 weeks of gestation. Which of the following findings should the nurse report to the provider?

a. Swollen ankles
b. Fetal hiccups
c. Blurred vision
d. Increased fetal movement

Answer 1

Blurred vision at 32 weeks of gestation should be reported to the provider, as it could be an indication of preeclampsia, which is a serious condition. Swollen ankles and increased fetal movement are more common and not typically as concerning, while fetal hiccups are a normal occurrence.

Step-by-step explanation:

A nurse in an antepartum clinic assessing a client at 32 weeks of gestation should report blurred vision to the provider. While swollen ankles and increased fetal movement are common occurrences in the later stages of pregnancy, blurred vision could signify a more serious condition such as preeclampsia, especially if accompanied by other symptoms like high blood pressure and proteinuria. Fetal hiccups are also a normal phenomenon and usually do not require medical intervention.

During the third trimester, the mother can experience symptoms such as back pain, swelling of the lower extremities, frequent urination, varicose veins, and heartburn. Significant circulatory problems can occur, including blurred vision, which should be immediately reported to a healthcare provider. Swollen ankles may be a sign of normal pregnancy-induced edema but can also indicate more serious conditions if they are accompanied by other worrying symptoms. Increased fetal movement is generally a sign of a healthy and active fetus.