A midwife is seeing four clients in the clinic. Which of the following clients should be seen first?
  1. A client at 12 weeks’ gestation complaining of increased urinary frequency.
  2. A client at 20 weeks’ gestation complaining of intermittent, painless contractions.
  3. A client at 20 weeks’ gestation who comes for her first prenatal check up.
  4. A client at 18 weeks’ gestation complaining of blurring of vision.
Explanation
Answer: D - The midwife should see the client at 18 weeks’ gestation complaining of blurring of vision. Blurring of vision indicates that the client is most likely experiencing pregnancy - induced hypertension. Increased urinary frequency is a normal complaint of clientss in the first trimester. Intermittent, painless contractions around the 20th week of gestation are referred to as Braxton Hicks contractions. The client who is coming for her first prenatal check up does not demonstrate any signs of abnormality.
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