A client comes to the clinic for an evaluation. The client is at 22 weeks' gestation. After reviewing a client's history, which factor would the nurse identify as placing her at risk for preeclampsia?

Client has a twin sister.

Her mother had preeclampsia during pregnancy.

This is the client's second pregnancy.

Her sister-in-law had gestational hypertension.

Answer and Explanation

The Correct Answer is B

A. Client has a twin sister.

Having a twin sister does not directly increase the client's risk of developing preeclampsia. While twin pregnancies are associated with higher rates of certain complications, such as preterm birth and gestational hypertension, having a twin sister herself does not inherently increase her risk of preeclampsia.

B. Her mother had preeclampsia during pregnancy.

This is the correct choice. A history of preeclampsia in the client's mother is a significant risk factor for preeclampsia in the client herself. Preeclampsia has a genetic component, and women with a family history of the condition, especially in their mothers, are at increased risk of developing it during their own pregnancies.

C. This is the client's second pregnancy.

While the number of pregnancies a woman has experienced can influence her risk of certain pregnancy complications, such as placental abnormalities, it is not as strong a risk factor for preeclampsia as a family history of the condition. Preeclampsia can occur in both first and subsequent pregnancies, regardless of the number of pregnancies a woman has had.

D. Her sister-in-law had gestational hypertension.

Gestational hypertension is a related condition to preeclampsia and shares some risk factors, such as high blood pressure during pregnancy. However, a sister-in-law having gestational hypertension does not directly increase the client's risk of preeclampsia. While it may suggest a family predisposition to hypertensive disorders during pregnancy, it is not as specific a risk factor for preeclampsia as a direct family history of the condition, such as in the client's mother.

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Correct Answer is A

Explanation

A. Candidiasis:

Candidiasis is caused by an overgrowth of the fungus Candida albicans in the vagina. It typically presents with symptoms such as thick, white vaginal discharge (resembling cottage cheese), itching, and discomfort during sexual intercourse (dyspareunia). This option is the most likely diagnosis based on the client's symptoms.

B. Genital herpes simplex:

Genital herpes simplex is caused by the herpes simplex virus (HSV). It presents with symptoms such as painful, fluid-filled blisters or sores in the genital area. While genital herpes can cause vaginal discharge, the discharge is typically clear or cloudy, not thick and white as described in the scenario.

C. Trichomoniasis:

Trichomoniasis is a sexually transmitted infection caused by the parasite Trichomonas vaginalis. It commonly presents with symptoms such as a frothy, yellow-green vaginal discharge, itching, and discomfort during urination or sexual intercourse. The discharge is typically not described as thick and white.

D. Bacterial vaginosis:

Bacterial vaginosis results from an imbalance of bacteria in the vagina, with a decrease in beneficial bacteria and an overgrowth of harmful bacteria. It presents with symptoms such as a thin, grayish-white vaginal discharge with a fishy odor. While bacterial vaginosis can cause vaginal discomfort, the discharge is not typically described as thick and white.

A. encouraging range-of-motion exercises B. ambulating the client C. applying elasticized stockings D. massaging the client's legs

Correct Answer is C

Explanation

A. Encouraging range-of-motion exercises: Range-of-motion exercises are generally encouraged post-hysterectomy to prevent complications such as blood clots and promote circulation. This action is appropriate and not contraindicated.

B. Ambulating the client: Ambulation is an essential aspect of postoperative care to prevent complications like atelectasis, pneumonia, and deep vein thrombosis (DVT). This action helps improve circulation and aids in the recovery process. It is appropriate and not contraindicated.

C. Applying elasticized stockings: Elasticized stockings, also known as compression stockings, are commonly used postoperatively to prevent deep vein thrombosis (DVT) by promoting blood flow in the legs. However, in the case of abdominal hysterectomy, if the incision site is below the level of the stockings, they may impede circulation to the surgical site and hinder wound healing. Therefore, this action may be contraindicated depending on the specific circumstances of the surgery and incision site.

D. Massaging the client's legs: Massaging the client's legs is generally not recommended post-hysterectomy, especially in the immediate postoperative period. Manipulating the legs could potentially disrupt healing tissues, increase the risk of bleeding, or cause discomfort to the client. Therefore, this action may be contraindicated.

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A client comes to the clinic for an evaluation. The client is at 22 weeks' gestation. After reviewing a client's history, which factor would the nurse identify as placing her at risk for preeclampsia?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is C

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