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, edematous nasal mucosa, thyroid enlargement, mottled skin, pallor, and a heart murmur all suggest possible underlying medical conditions that require further evaluation by the physician. The nurse should not delay in having the physician see the patient today to ensure appropriate management and follow-up. Simply documenting the findings and analyzing previous lab results are not sufficient in this case, and sun exposure is not directly relevant to the findings presented.

The Clinic Nurse Is Assisting with an Initial Prenatal Assessment