A nurse is caring for a full-term newborn immediately following birth. Which of the following actions should the nurse take first?

Dry the newborn

Rationale: When using the urgent vs. non-urgent approach to client care, the nurse should determine that the greatest risk to the newborn is cold stress. Therefore, the first action the nurse should take immediately after delivery is to dry the newborn.

A nurse is caring for a pt. who is at 36 weeks of gestation and has a positive contraction stress test. The nurse should plan to prepare the client for which of the following diagnostic tests?

Biophysical profile

Rationale: A positive contraction stress test indicates that further evaluation of the fetus is necessary. A biophysical profile will provide further evaluation with real-time ultrasound.

A nurse in a prenatal clinic is assessing a group of patients. Which of the following patients. should the nurse request the provider see first?

A client who is at 11 weeks of gestation and reports abdominal cramping.

Rationale: When using the urgent vs nonurgent approach to client care, the nurse should determine that the priority finding is a client who is at 11 weeks of gestation and reports abdominal cramping. Abdominal cramping can indicate an ectopic pregnancy or manifestations of spontaneous abortion. The nurse should request that the provider see this client first.