The clinic nurse is assisting with an initial prenatal assessment. The following findings are present: spider nevi present on lower legs; dark pink, edematous nasal mucosa; mild enlargement of the thyroid gland; mottled skin and pallor on palms and nail beds; heart rate 88 with murmur present. What is the best action for the nurse to take based on these findings?

Question

Quizplus · Accepted Answer

The presence of spider nevi, nasal edema, mild thyroid enlargement, and mottled skin and pallor on palms and nail beds indicate possible underlying health issues that require further evaluation by a physician. The presence of a heart murmur also warrants immediate attention from a healthcare provider. Therefore, having the physician see the patient today is the most appropriate action for the nurse to take based on these findings. Documenting the findings on the prenatal chart would also be important, but it should not be the only action taken. Avoiding direct sunlight and analyzing previous thyroid hormone lab results are not relevant actions based on the given findings.

The Clinic Nurse Is Assisting with an Initial Prenatal Assessment