Which of the following obstetric clients should the nurse see first? A. The client who is 40 weeks gestation having contractions every 5 minutes lasting 50 seconds B. The client who is 32 weeks gestation with terbutaline (Brethine) intravenously C. The one-day postpartum client who has changed two peri-pads in the last six hours D. The diabetic obstetric client with a blood glucose level of \(90 \mathrm{mg} / \mathrm{dL}\)

Each client is facing a different situation: A. Client at 40 weeks gestation with contractions B. Client at 32 weeks gestation with terbutaline IV C. One-day postpartum client with two peri-pad changes D. Diabetic obstetric client with blood glucose level of \(90 \mathrm{mg}/\mathrm{dL}\)

A. This client is at full term and experiencing contractions, which might indicate labor. This situation could require immediate attention if the baby is in distress. B. Terbutaline is used to stop preterm labor. This client is only 32 weeks pregnant, meaning the baby may have complications if born prematurely. The presence of terbutaline IV means this client is potentially in preterm labor and needs monitoring. C. Changing two peri-pads in six hours might indicate excessive bleeding, which could be normal, but the nurse should assess whether this is within the expected range or if there is a risk of hemorrhage. D. A blood glucose level of \(90 \mathrm{mg}/\mathrm{dL}\) is within the normal range for a pregnant woman with diabetes. As long as the client is not showing any other concerning symptoms, this situation may not require immediate attention.

Based on the risks associated with each situation, the nurse should prioritize them in the following order: 1. Client B: Preterm labor is the most immediate and potentially dangerous situation for the baby. 2. Client A: Labor at 40 weeks gestation is normal, but the nurse should monitor the client for any signs of fetal distress or complications. 3. Client C: Postpartum bleeding should be assessed and monitored to determine if the client is suffering from hemorrhage or if it is within the normal range for postpartum recovery. 4. Client D: The diabetic obstetric client's blood glucose level is within the normal range, and other symptoms should be assessed, but it does not require immediate priority.

Based on the priority list, the nurse should see the client who is 32 weeks gestation with terbutaline (Brethine) intravenously (Client B) first. This client is potentially in preterm labor and requires immediate attention to protect the baby's health.