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[Verified Answer]: Initial Nursing Assessment The nurse…

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Initial Nursing Assessment The nurse enters Renee’s room, performs hand hygiene, and introduces themselves. Renee appears worried and verbalizes concerns about the health of their baby and if they will have to deliver early, Renee states, “I don’t understand how this happened. I followed all of my doctor’s instructions.” The nurse reviews the fetal monitor strip. Fetal heart rate is 140/min with moderate variability and spontaneous accelerations are noted. No decelerations. No contractions are seen on the tracing and Renee denies feeling cramps or contractions. The nurse notes deep tendon reflexes of 3+ and pitting edema of the lower extremities, Renee remarks that their face and hands are also swollen. Renee rates their pain as a 5 on a scale of 0 to 10 for a frontal headache and notes their vision is a bit blurry, Which of the following concerns should the nurse address while providing client care? Select all that apply.

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