A client at 10-weeks gestation reports a maculopapular rash on the face, fever, malaise, sore throat, and lymphadenopathy. Which laboratory result should the nurse review?
Toxoplasmosis.
Group B Streptococcus.
Gonorrhea.
Rubella.
The Correct Answer is D
A. Toxoplasmosis: While toxoplasmosis can cause symptoms similar to those described, it is not typically associated with a maculopapular rash on the face. Moreover, routine screening for toxoplasmosis is not typically performed during pregnancy unless indicated by specific risk factors.
B. Group B Streptococcus: Group B Streptococcus is primarily associated with maternal
colonization and neonatal infection, but it does not typically present with a maculopapular rash on the face in the mother.
C. Gonorrhea: Gonorrhea can cause systemic symptoms, but it is not commonly associated with a maculopapular rash on the face. Additionally, routine screening for gonorrhea during pregnancy typically focuses on genital sites rather than systemic symptoms.
D. Rubella: Rubella, or German measles, presents with a maculopapular rash on the face (often described as a "slapped cheek" appearance) along with fever, malaise, sore throat, and
lymphadenopathy. Rubella infection during pregnancy can lead to congenital rubella syndrome, which can have serious consequences for the developing fetus. Therefore, it is important to
review rubella immunity status in pregnant women presenting with these symptoms.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Observing the color of urine is crucial when monitoring for adverse effects of prasugrel, as one of the potential adverse effects is bleeding. Hematuria (blood in the urine) can indicate
bleeding complications, which require immediate attention.
B. Assessing skin turgor is not directly related to monitoring for adverse effects of prasugrel.
Skin turgor assessment is typically used to assess hydration status.
C. Measuring body temperature is important for monitoring for signs of infection or inflammation but is not directly related to monitoring for adverse effects of prasugrel.
D. Checking for pedal edema is not directly related to monitoring for adverse effects of
prasugrel. Pedal edema may indicate issues such as fluid overload or venous insufficiency.
Correct Answer is D
Explanation
A. Ankle edema and varicose veins are more commonly associated with venous insufficiency rather than peripheral arterial disease. Asking about these symptoms may not provide relevant information about chronic arterial symptoms.
B. Weeping ulcers on the lower legs are more indicative of venous insufficiency rather than peripheral arterial disease. Asking about these ulcers may not provide relevant information about chronic arterial symptoms.
C. Sudden onset of leg swelling, redness, warmth, and pain is suggestive of acute arterial occlusion rather than chronic arterial symptoms. Asking about these symptoms may be important for assessing acute arterial events, but it does not specifically address chronic arterial symptoms.
D. Peripheral arterial disease commonly presents with intermittent claudication, which causes calf pain or discomfort during physical activity, such as walking short distances. Asking about calf pain during walking can help assess for symptoms of peripheral arterial disease and its
impact on mobility and quality of life.
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