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.

Answer and Explanation

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.

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Correct Answer is D

Explanation

A. Matching ID bands of all infants and mothers on the unit is an important step in ensuring infant safety and preventing mix-ups. However, this action does not address the immediate need to secure the facility and prevent the potential abduction of the newborn.

B. Determining if the newborn is in the nursery is important, but it is not the first priority. The nurse must act immediately to secure the unit and prevent the possibility of the infant being removed from the hospital.

C. Asking the mother if any visitors were expected may provide helpful information, but it is not the first action. The priority is to ensure the safety of all infants and prevent unauthorized exits from the facility.

D. Activating the lockdown procedure is the first and most critical action. This ensures that all exits are secured, preventing the potential abductor from leaving the facility. Once the lockdown is in place, the nurse can proceed with further actions to locate the infant and investigate the situation.

A. Attempt to distract the client with general conversation. B. Explain the procedure in detail while removing the staples. C. Encourage the client to continue to verbalize the anxiety. D. Reassure the client that this is a simple nursing procedure.

Correct Answer is A

Explanation

A. Attempting to distract the client with general conversation can help redirect the client's focus away from the discomfort and anxiety associated with the procedure. It can help alleviate anxiety and make the experience more tolerable for the client.
B. Explaining the procedure in detail while removing the staples may increase the client's anxiety and discomfort. While education about the procedure is important, it may not be the most
effective intervention in this situation.
C. Encouraging the client to continue to verbalize the anxiety acknowledges the client's feelings but may not effectively address the anxiety or alleviate discomfort during the procedure.
D. Reassuring the client that this is a simple nursing procedure may not be sufficient to alleviate the client's anxiety. The client's perception of the procedure as distressing is valid, and additional measures may be needed to help manage the anxiety and discomfort.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

Correct Answer is A

Explanation

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