Which of the following gravid clients is most appropriate for a charge nurse to assign to a new nurse with no obstetric (OB) experience?
Explanation & Rationale
Choice A rationaleA 34-week client with no fetal heartbeat requires specialized care and emotional support due to fetal demise. This situation involves complex emotional and physical considerations beyond the scope of a new nurse's experience.Choice B rationaleA 32-week patient with preeclampsia receiving magnesium sulfate is a high-risk pregnancy requiring close monitoring for signs of magnesium toxicity (e.g., respiratory depression, decreased reflexes) and worsening preeclampsia. This level of care is not appropriate for a new OB nurse.Choice C rationaleA 38-week client with complete previa, where the placenta completely covers the cervical os, is at high risk for hemorrhage during labor and delivery. This requires experienced obstetric nursing care and preparation for potential cesarean section.Choice D rationaleA 9-week client with hyperemesis gravidarum receiving IV therapy for dehydration and electrolyte imbalance requires assessment of hydration status, electrolyte levels, and management of nausea and vomiting. While requiring nursing care, this situation is generally more stable and less complex than the other options, making it a more appropriate assignment for a new nurse under the supervision of an experienced charge nurse.