Hesi maternity 55 questions quizlet

Study with Quizlet and memorize flashcards containing terms like One day after vaginal delivery of a full-term baby, a post-partum client's white blood cell count is 15,000/mm3. What action should the nurse take first?, In preparing a gravid client for a triple screen analysis, which action should the nurse take?, During a routine first trimester prenatal …

Hesi maternity 55 questions quizlet. View Maternity all 55 Flashcards | Quizlet.pdf from NUR 403 at University of Alabama, Huntsville. ... HESI OB final exam 55 questions. Q&A. ... View patty hesi OB ...

Study with Quizlet and memorize flashcards containing terms like A primigravida arrives at the observation unit of the maternity unit because thinks is in labor. The nurse applies the external fetal heart monitor and determines that the fetal heart rate is 140 beats/minute and the contractions are occurring irregularly every 10 to 15 minutes.

MATERNITY HESI QUESTIONS. Get a hint. b. If MSAFP and estriol levels are low and the hCG level is high, results are positive for a possible chromosomal defect. Low levels of MSAFP and estriol and elevated levels of hCG found in the maternal blood sample are indications of possible chromosomal defects. High levels of MSAFP and estriol in the ...Silverman-Anderson index. Silverman-Anderson index is an assessment scale that scores a newborn's respiratory status as grade 0, 1, or 2 for each component; it includes synchrony of the chest and abdomen, retractions, nasal flaring, and expiratory grunt. No respiratory distress is graded 0 and a total of 10 indicates maximum respiratory distress.Study with Quizlet and memorize flashcards containing terms like One day after vaginal delivery of a full-term baby, a post-partum client's white blood cell count is 15,000/mm3. What action should the nurse take first? Check the differential, since WBC is normal for this client., In preparing a gravid client for a triple screen analysis, which action should the nurse take? Prepare to draw ...HESI Practice Questions - Maternal Child Nursing. A couple, concerned because the woman has not been able to conceive, is referred to a healthcare provider for a fertility workup and a hysterosalpingography is scheduled. Which complaint would indicate to the nurse that the woman's fallopian tubes are patent? Back pain.Study with Quizlet and memorize flashcards containing terms like At 10-weeks gestation, a high-risk multiparous client with a family history of Down syndrome is admitted for observation following a chorionic villi sampling (CVS) procedure. What assessment finding requires immediate intervention?, A client states, "During the three months I've been …Obstetrics/Maternity Practice HESI Exam _ Preeclampsia - Case Study _ 2023. At 0600, Ashley is brought to the Labor and Delivery triage area by her sister. The client complains of a pounding headache for the last 12 hours unrelieved by acetaminophen, swollen hands and face for 2 days, blurry vision, and epigastric pain described as bad heartburn.Study with Quizlet and memorize flashcards containing terms like The nurse is counseling a couple who has sought information about conceiving. For teaching purposes, the nurse should know that ovulation usually occurs? A. 2 weeks before B. right after C. Right before D. 3 weeks after, A client who has autosomal dominant inherited disorder is exploring family planning options and the risk for ...Maternity Nursing and Newborn Nursing Test Bank. In this section are the practice quiz and questions for maternity nursing and newborn care nursing test banks. There are 545 NCLEX -style practice questions in this nursing test bank. We’ve made a significant effort to provide you with the most informative rationale, so please read them.

Create your own Quiz. Welcome to Maternal and Child Health Nursing (HESI EXAMINATION). Maternity nursing is a form of intensive, informative and …Study with Quizlet and memorize flashcards containing terms like 1. The nurse is caring for a 3-year old child who is 2 hours postop from a cardiac catheterization via the right femoral artery. Which assessment finding is an indication of arterial obstruction? a.Blood pressure trend is downward and pulse is rapid and irregular. b.Right foot is cool to the touch and …Stages of labor. first stage - includes 3 phases: latent, active (4 - 7cm) and transition (8 - 10 cm) second stage - stage of expulsion and ends with birth of baby. third stage - placental separation stage. fourth stage - 2 hours after delivery of placenta. Cervical dilation.A Silverman-Anderson Index has five categories with scores of 0, 1, or 2. The total score ranges from 0 to 10. Four of the these assessment findings should receive a score of 1, and the 5th finding (synchronized chest and abdominal movement) receives a score of 0. Therefore, the total score is 4.2024 HESI MATERNITY OB EXAM VERSION 1 LATEST ALL 55 QUESTIONS AND CORRECT ANSWERS ALREADY GRADED A+ An infant born breech is at risk for what complication? - ANSWER>>Brachial palsy-- which results from the stretching of nerve fibers in the neck, shoulder, and arm where the shoulder is being ...

A. Has a greater risk of complications during pregnancy. Clients with DM are at greater risk for developing maternal and fetal complications during pregnancy. Pediazole is a suspension medication that contains 200 mg erythromycin and 600 mg sulfisoxazole per 5 mL. The physician orders Pediazole 4 mL PO every 12 hours.Study with Quizlet and memorize flashcards containing terms like Twenty minutes after a continuous epidural anesthetic is administered, a laboring client's blood pressure drops from 120/80 to 90/60. What action will the nurse take? A. Notify the healthcare provider or anesthesiologist immediately B. Continue to assess the blood pressure q5 minutes C. …Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a 3 year old child who is 2 hours postop from a cardiac catheritization via the right femoral artery. Which assessment finding is an indication of arterial obstruction?, Following a motor vehicle collision, a 3 year old girl has a spica cast applied. Which toy is best for the …Study with Quizlet and memorize flashcards containing terms like A client is receiving clonidine (Catapres) 0.1 mg/24hr via transdermal patch. Which assessment finding indicates that the desired effect of the medication has been achieved? A. Client denies recent episodes of angina. B. Change in peripheral edema from +3 to +1. C. Client denies …ABNORMAL: 20 sec. Explain the use of the peak flow and what the different results mean. Green: personal best - take daily meds. Yellow: add albuterol with daily meds. Red: same as above + hospital (50% below personal best) Side effects and toxicity of albuterol. SE: jittery. Overdose: chest pain, 200 BPM. Explain the pathophysiology of CF.5.4K. 98K views 3 years ago Maternity/OB. Learn important priorities to know for Maternity questions on NCLEX, HESI and ATI. NCLEX is very big on priority …

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MATERNITY HESI QUESTIONS. Get a hint. b. If MSAFP and estriol levels are low and the hCG level is high, results are positive for a possible chromosomal defect. Low levels of MSAFP and estriol and elevated levels of hCG found in the maternal blood sample are indications of possible chromosomal defects. High levels of MSAFP and estriol in the ...The world’s sole superpower requires the same level of paid maternity benefits as fellow economic powerhouses Swaziland, Lesotho and Papua New Guinea. That is to say, zilch. The wo...a) to use enzymes to break down food. b) to perform gas exchange. c) to remove waste from the body. d) to use peristalsis to move food along. b) to perform gas exchange. Gas exchange is a function of the respiratory system. The body, at all times, attempts to maintain homeostasis. The best definition of homeostasis is:Stages of labor. first stage - includes 3 phases: latent, active (4 - 7cm) and transition (8 - 10 cm) second stage - stage of expulsion and ends with birth of baby. third stage - placental separation stage. fourth stage - 2 hours after delivery of placenta. Cervical dilation.How does mental health status during pregnancy relate to autism in children? Here's what experts and researchers say. Maternal mental health could influence whether a child is born...OB "HESI" Practice Questions. 132 terms. Profile ... 1) Maternity nurse often have to answer questions ... 55 to 60 seconds. On the basis of this information, the .....

Study with Quizlet and memorize flashcards containing terms like A 38-week primigravida who works as a secretary and sits at a computer for 8 hours each day tells the nurse that her feet have begun to swell. Which instruction would bemost effective in preventing pooling of blood in the lower extremities?, A 26-year-old, gravida 2, para 1 client is admitted to …55 of 55. Quiz yourself with questions and answers for PEDS Hesi final, so you can be ready for test day. Explore quizzes and practice tests created by teachers and students or create one from your course material.Study with Quizlet and memorize flashcards containing terms like A 23-year-old woman arrives at the prenatal clinic because she thinks that she is pregnant. Her last menstrual period began on March 31, and her pregnancy test reveals a positive result. According to Nägele's rule, what is this client's expected date of birth (EDB)? A. July 8 B. Jan 7 C. Dec 7 D. Dec 24, A woman arrives at the ...2022 Hesi Maternity OB Exam Version 2 Test Questions & Answers (A+ grade) 1 The nurse is providing care for a newborn who was delivered vaginally assisted by forceps. …Terms in this set (265) A woman who have birth 2 hours ago has a temperature of 37.9 *C. Select all of the immediate nursing actions. A) Have pt drink 2 glasses of fluid over the next hour. B) Explain to the patient that she needs to rest and assist her into a comfortable position. C) Medicate pt with 500 mg of acetaminophen as per orders.Study with Quizlet and memorize flashcards containing terms like One day after vaginal delivery of a full-term baby, a post-partum client's white blood cell count is 15,000/mm3. What action should the nurse take first?, In preparing a gravid client for a triple screen analysis, which action should the nurse take?, During a routine first trimester prenatal …2022 HESI OB MATERNITY V1 Most Questions & Answers (and screenshots included – received a A+) from HESI test taken on March 7 …Welcome to Maternal and Child Health Nursing (HESI EXAMINATION). Maternity nursing is a form of intensive, informative and knowledgeable care provided by a maternity nurse. In most instances, the maternity nurse provides two related and integrated services. The first one is pre-birth care. The maternity nurse is there to help …

Study with Quizlet and memorize flashcards containing terms like During stage two of labor, what assessments must the labor nurse perform? (Select all that apply.) A. Fetal heart rate before the contraction B. Fetal heart rate during the contraction C. Fetal heart rate after the contraction D. Frequency of contractions E. Duration of contractions F. Uterine tone between contractions, A 41-week ...

Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a 3 year old child who is 2 hours postop from a cardiac catheritization via the right femoral artery. Which assessment finding is an indication of arterial obstruction?, Following a motor vehicle collision, a 3 year old girl has a spica cast applied. Which toy is best for the …HESI Maternity Practice Questions. Get a hint. A client at 30-weeks gestation, complaining of pressure over the pubic area, is admitted for observation. She is contracting irregularly and demonstrates underlying uterine irritability. Vaginal examination reveals that her cervix is closed, thick, and high.Study with Quizlet and memorize flashcards containing terms like One day after vaginal delivery of a full-term baby, a post-partum client's white blood cell count is 15,000/mm3. What action should the nurse take first? Check the differential, since WBC is normal for this client., In preparing a gravid client for a triple screen analysis, which action should the nurse take? Prepare to draw ...An 8 year-old child is admitted to the Emergency Department because of lower right quadrant pain, nausea, and vomiting. Which assessment of the abdomen ...Medicine. Obstetrics. Maternity HESI Questions & Hints. The nurse observes a new mother avoiding eye contact with her newborn. Which action should the nurse take? …This nursing test bank includes 500+ practice questions to test your competence on the concepts behind maternal and child health nursing, maternity …Study with Quizlet and memorize flashcards containing terms like At 10-weeks gestation, a high-risk multiparous client with a family history of Down syndrome is admitted for observation following a chorionic villi sampling (CVS) procedure. What assessment finding requires immediate intervention, A client states, "During the three months I've been …How does mental health status during pregnancy relate to autism in children? Here's what experts and researchers say. Maternal mental health could influence whether a child is born...Study with Quizlet and memorize flashcards containing terms like A 9-month-old child ... 55 terms. tamaratamy68. Preview. Preschool language disorders #2 Exam . 58 terms. mor_____gan. Preview. Peds exam 3 practice questions . 34 terms. Madison-kreft. Preview. Pediatric HESI Practice Questions. 50 terms. Ashley_Stanley5. Preview. HESI …Welcome to Maternal and Child Health Nursing (HESI EXAMINATION). Maternity nursing is a form of intensive, informative and knowledgeable care provided by a maternity nurse. In most instances, the maternity nurse provides two related and integrated services. The first one is pre-birth care. The maternity nurse is there to help the mother and the family during their pregnancy and afterward. In ...

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If you're going on maternity leave soon, these maternity leave out of office message examples will save you time. When you are expecting, taking maternity or parental leave can be ...26 Apr 2021 ... A woman who thinks she could be pregnant calls her neighbor, a nurse, to ask when she could use a home pregnancy test to diagnose pregnancy.Correct Answer:D. 7)A client at 32 weeks gestation comes to the prenatal clinic with complaints of pedal edema, dyspnea, fatigue and a moist cough, Which question is most important for the LPN/VN to ask this client? maternity and peds Learn with flashcards, games, and more — for free.2022 HESI OB MATERNITY V1 Most Questions & Answers (and screenshots included – received a A+) from HESI test taken on March 7 …Stage 1 is a nonblanchable pressure point over intact skin. Stage 2 is a partial thickness ulcer, such as a ruptured blister or shallow open ulcer with a pink wound bed. Stage 4 is a full thickness tissue loss with exposed bone, tendon or muscle, slough or eschar, and often includes undermining and tunneling.MATERNITY HESI QUESTIONS. Get a hint. b. If MSAFP and estriol levels are low and the hCG level is high, results are positive for a possible chromosomal defect. Low levels of MSAFP and estriol and elevated levels of hCG found in the maternal blood sample are indications of possible chromosomal defects. High levels of MSAFP and estriol in the ...Visit various websites to find Apex world history answers including Quizlet.com and Plaintxt.org. Check these sites for available answers and then use the question and answer model...A 39 week gestation, a multigravida is having a non-stress test (NST). The fetal heart rate (FHR) has remained non- reactive during the 30 minutes of evaluation ...Learn hesi practice questions maternal with free interactive flashcards. Choose from 5,000 different sets of hesi practice questions maternal flashcards on Quizlet.View HESI Maternity Final Test 01.docx from NURSING NUR2633 at Rasmussen College. HESI Review Test-Maternity, Evolve Obstetrics/Maternity Practice Final Exam, HESI Maternity 1. The nurse observes a ….

Study with Quizlet and memorize flashcards containing terms like During stage two of labor, what assessments must the labor nurse perform? (Select all that apply.) A. Fetal heart rate before the contraction B. Fetal heart rate during the contraction C. Fetal heart rate after the contraction D. Frequency of contractions E. Duration of contractions F. Uterine tone between contractions, A 41-week ... Study with Quizlet and memorize flashcards containing terms like An expectant father tells the nurse he fears that his wife is "losing her mind." He states that she is constantly rubbing her abdomen and talking to the baby and that she actually reprimands the baby when it moves too much. The nurse concludes that urinary function has returned when the: A. client has 90 mL of residual urine after voiding. B. client's daily urinary output is at least 1500 mL. C. client's urinalysis indicates that no bacteria are present. D. client voids 300 mL of urine within 4 hours of catheter removal.Study with Quizlet and memorize flashcards containing terms like A central venous catheter has been inserted via a jugular vein, and a radiograph has confirmed placement of the catheter. A prescription has been received for a medication STAT, but IV fluids have not yet been started. Which action should the nurse take prior to administering the prescribed …A client in early labor is having uterine contractions every 3 to 4 minutes, lasting an average of 55 to 60 seconds. An internal uterine pressure catheter (IUPC) is inserted. The intrauterine pressure is 65 to 70 mm Hg at the peak of a contraction and the resting tone is 6 to 10 mm Hg. Based on this information, what action should the nurse ... 2022 HESI OB MATERNITY V1 Most Questions & Answers (and screenshots included – received a A+) from HESI test taken on March 7 th 2022. A client at 37 weeks gestation presents to labor and delivery with contractions every two 55 of 55. Quiz yourself with questions and answers for PEDS Hesi final, so you can be ready for test day. Explore quizzes and practice tests created by teachers and students or create one from your course material.3. Blood enters the left atrium. 4. Blood passes through the mitral valve. 5. Blood exits through the aorta. What would result following an injury to the phrenic nerve? An inability to control breathing. The limbic system of the brain is responsible for the regulation of …Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client with hyperparathyroidism and notes that the client's serum calcium level is 13 mg/dL. Which medication should the nurse prepare to administer as prescribed to the client?1. Calcium chloride 2. Calcium gluconate 3. Calcitonin (Miacalcin) 4. Large doses of … Hesi maternity 55 questions quizlet, Study with Quizlet and memorize flashcards containing terms like A 38-week primigravida who works as a secretary and sits at a computer 8 hours each day tells the nurse that her feet have begun to swell. Which instruction will aid in the prevention of pooling of blood in the lower extremities? A.Wear support stockings. B.Reduce salt in the diet. C.Move about every hour. D.Avoid constrictive ..., This can be a normal event of pregnancy. stages of labor. 1st: dilating stage 3 phases: Latent (0-3cm) Active (4-7cm) Traditional (8-10cm w/ urge to push) 2nd stage: delivery. 3rd: placental delivery. 4th: recovery- primary goal to prevent hemorrhage from uterine atony, 1st void within 1 hour and then q2-3 hrs, Rhogam., All Maternity HESI Questions . objective signs of ovulation. Click the card to flip 👆. -abundant, thin, clear cervical mucus. -spinnbarkeit (egg white stretchiness) of cervical mucus. -open cervical os. -slight drop in BBT and then a 0.5-1˚F rise. -ferning under microscope. Click the card to flip 👆., Maternity / OB PN Hesi Specialty (V1) At 14-weeks gestation, a client arrives at the Emergency Center complaining of a dull pain in the right lower quadrant of her abdomen. The LPN/LVN obtains a blood sample and initiates an IV. Thirty minutes after admission, the client reports feeling a sharp abdominal pain and a shoulder pain. , By the third postpartum day, the new mother should start to "take hold" of caring for her infant, by asking questions about infant care and initiating care of ..., Study with Quizlet and memorize flashcards containing terms like Client tells the nurse that she thinks she's pregnant. Which signs or symptoms provide the best indication that the client is pregnant? A. Morning sickness. B. Breast tenderness. C. Amenorrhea. D. Hegar's sign., The nurse is teaching a woman how to use her basal body temperature (BBT) pattern as a tool to assist her in conceiving ..., Study with Quizlet and memorize flashcards containing terms like HESI HINT: 1 Anatomy and Physiology of Reproduction and Antepartum, HESI HINT: 2 Anatomy and Physiology of Reproduction and Antepartum, HESI HINT: 3 Anatomy and Physiology of Reproduction and Antepartum and more. , Maternity HESI . Get a hint. 1 gram equals. Click the card to flip 👆. 1 mL. Click the card to flip 👆. 1 / 55., Prepare for the HESI A2 exam with Quizlet and learn the key terms and concepts you need to ace the test. Quizlet offers interactive flashcards, games, and practice tests to help you study efficiently and effectively. Whether you need to review math, anatomy, biology, or grammar, Quizlet has you covered., EVOLVE HESI PREP QUESTIONS FOR Obstetrics/Maternity Practice Exam Learn with flashcards, games, and more — for free., Maternal morbidity has a huge cost on society, according to a Commonwealth Fund study. The US is a dangerous place to give birth. The rate of maternal mortality—deaths resulting fr..., b. Fetal heart rate accelerations with fetal movement. c. Absences of uterine contraction of 20 minutes. d. A pattern of fetal late decelerations. D. Study with Quizlet and memorize flashcards containing terms like One day after vaginal delivery of a full-term baby, a post-partum client's white blood cell count is 15,000/mm3., may result in neonatal depression should a rapid birth occur. 55. When assessing the frequency of contractions of a multiparous client ..., 2022 HESI OB MATERNITY V1 Most Questions & Answers (and screenshots included – received a A+) from HESI test taken on March 7 …, Study with Quizlet and memorize flashcards containing terms like Following discharge teaching, a male client with duodenal ulcer tells the nurse the he will drink plenty of dairy products, such as milk, to help coat and protect his ulcer. What is the best follow-up action by the nurse? a. Remind the client that it is also important to switch to decaffeinated …, Study with Quizlet and memorize flashcards containing terms like At 10-weeks gestation, a high-risk multiparous client with a family history of Down syndrome is admitted for observation following a chorionic villi sampling (CVS) procedure. What assessment finding requires immediate intervention? -uterine cramping -abdominal tenderness -systolic bp <100 mmHg -intermittent nausea, A client ..., Term. A client admitted to the maternity unit 12 hours ago has been experiencing strong contractions every 3 minutes but has remained at station 0. The fetal heart rate on admission was 140 beats/min and regular. The fetal heart rate is slowing, and a persistent nonreassuring fetal heart rate pattern is present., Study with Quizlet and memorize flashcards containing terms like Client teaching is an important part of the maternity nurse's role. Which factor has the greatest influence on successful teaching of the gravid client? a. the client's readiness to learn b. the client's educational background c. the order in which the information is presented d. the extent to which the pregnancy is planned, A 38 ..., Perform a nitrazine test. A client in early labor is having uterine contractions every 3 to 4 minutes, lasting an average of 55 to 60 seconds. An internal ..., The total intake is: 2 8oz cups of coffee1 16-oz serving of clear soup1 pint of water consumed throughout the dayHow much is the deficit in milliliters? Click the card to flip 👆. 2 8 oz cups = 16 oz. 1 16 oz soup = 16 oz. 1 pint water = 16 oz. 16+16+16 = 48. 48oz X 30 (conversion to milliliters) = 1440. 1440 - 1000 = 440., 90-140 mm Hg systolic and 60 to 90 mm Hg diastole. Normal weight gain limits. Normal weight gain during pregnancy: 11-16kg (25-35lbs); First trimester: 1-4.5lbs per week, Second trimester:1-2lbs per week, Third trimester:1-2lbs per week. report what blood glucose level in the full-term infant. report any blood glucose level under 40 mg/dL., Maternal Hesi Study Questions. 55 terms. 5 (3) sespinosa95. ... Choose from 658 different sets of study hesi 2 maternity flashcards on Quizlet., Questions to study for the Maternity HESI Learn with flashcards, games, and more — for free. A new mother who has just had her first baby says to the nurse, "I saw the baby in the recovery room. She sure has a funny-looking head.", c. Lower the leg off the side of the bed. d. Elevate the leg above the heart. b. Extend the leg and dorsiflex the foot. Dorsiflexing the foot by puching the sole of the foot forward or by stnading (if the client is capable) (B), and putting the heel of the foot on the floor is the best means of relieving leg cramps., Maternally inherited diabetes and deafness (MIDD) is a form of diabetes that is often accompanied by hearing loss, especially of high tones. Explore symptoms, inheritance, genetics..., Study with Quizlet and memorize flashcards containing terms like A client who had her first baby ... 55 terms. pumkinspice22. Preview. Health Promotion Unit 2. 182 terms. Maira_VanBeveren. Preview. OBGYN EOR (pregnancy complications) 171 terms. scw7205. Preview. OB HESI practice 2024. 109 terms. rebekah_gossett4. Preview. Maternity …, Thirteen years ago when I had my first child, I had every good intention of going back to work after maternity leave. And I did go back. But I was... Edit Your Post Published by Ka..., Choose from 5,000 different sets of maternity hesi flashcards on Quizlet. ... Subjects Expert Solutions. Study sets, textbooks, questions. Study sets, textbooks, questions. Log in. Sign up. Results for "maternity hesi" All results Study sets Textbooks Questions Users Classes. ... 55 terms. 4 (1) cowzie4. 7 studiers today. Maternity HESI. 123 ..., 2022 HESI OB MATERNITY V1 Most Questions & Answers (and screenshots included – received a A+) from HESI test taken on March 7 th 2022. A client at 37 weeks gestation presents to labor and delivery with contractions every two, Study with Quizlet and memorize flashcards containing terms like The nurse performs the first assessment upon the client's arrival to the postpartum unit. Where would the nurse expect to palpate the fundus? a. 3 cm above the umbilicus. b. 1 cm above the umbilicus. c. To the right of the umbilicus. d. Midway between the umbilicus and the pubic bone., Fifteen minutes after the initial assessment ..., HESI Maternity V1. Get a hint. A client at 37 weeks gestation presents to the labor and delivery with contractions every two minutes the nurse observes several shallow small vesicles on her pubis labia and perineum. The nurse should recognize the client is prohibiting symptoms of which condition. Click the card to flip 👆., Study with Quizlet and memorize flashcards containing terms like 1. A client with a productive cough has obtained a sputum specimen for culture as instructed. What is the best initial nursing action? A. Administer the first dose of antibiotic therapy B. Observe the color, consistency, and amount of sputum C. Encourage the client to consume plenty of warm liquids D. Send the specimen to the lab ... , Maternity / OB PN Hesi Specialty (V1) At 14-weeks gestation, a client arrives at the Emergency Center complaining of a dull pain in the right lower quadrant of her abdomen. The LPN/LVN obtains a blood sample and initiates an IV. Thirty minutes after admission, the client reports feeling a sharp abdominal pain and a shoulder pain.