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A nurse has been assigned to assess a pregnant client for abruptio placenta.
For which classic manifestation of this condition should the nurse assess?.

Generalized vasospasm.

Painless bright red vaginal bleeding.

"Knife-like" abdominal pain with vaginal bleeding.

Increased fetal movement.

Answer and Explanation

The Correct Answer is C

The correct answer is choice C.

Choice A rationale:

Generalized vasospasm is not a symptom of abruptio placenta. It is more associated with conditions like preeclampsia.

Choice B rationale:

Abruptio placenta is usually associated with painful dark red vaginal bleeding, not painless bright red bleeding.

Choice C rationale:

“Knife-like” abdominal pain with vaginal bleeding is a classic symptom of abruptio placenta.

Choice D rationale:

Increased fetal movement is not a symptom of abruptio placenta. In fact, fetal movement may decrease due to distress.

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Correct Answer is D

Explanation

The correct answer is choice D.

Choice A rationale:

Heart rate and respiratory effort are two of the five parameters of the Apgar score. However, this choice is incomplete as it does not include all five parameters.

Choice B rationale:

Temperature is not a parameter of the Apgar score. Tone is a parameter, but this choice is incomplete as it does not include all five parameters.

Choice C rationale:

Color is a parameter of the Apgar score. However, this choice is incomplete as it does not include all five parameters.

Choice D rationale:

The Apgar score is based on five parameters: heart rate, breaths per minute (respiratory effort), irritability (response to stimulation), tone (muscle tone), and color. Therefore, this choice is correct.

A. There is a loss of 5% to 10% of the birth weight in the first few days in breastfed infants only. B. There is an increase in 3% to 5% of birth weight by day 3 in formula-fed babies. C. There is a loss of 5% to 10% of birth weight in formula-fed and breastfed newborns. D. A formula-fed newborn should gain 3% to 5% of the initial birth weight in the first 48 hours, but a breastfed newborn may lose up to 3%.

Correct Answer is C

Explanation

The correct answer is choice C.

Choice A rationale:

While it’s true that breastfed infants may lose 5% to 10% of their birth weight in the first few days, this is not exclusive to breastfed infants.

Choice B rationale:

Formula-fed babies may gain weight more quickly than breastfed babies, but they do not typically show an increase in weight by day 3.

Choice C rationale:

Both formula-fed and breastfed newborns can lose 5% to 10% of their birth weight in the first few days.

Choice D rationale:

While formula-fed newborns may gain weight more quickly than breastfed newborns, they do not typically gain 3% to 5% of the initial birth weight in the first 48 hours.

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A nurse has been assigned to assess a pregnant client for abruptio placenta.For which classic manifestation of this condition should the nurse assess?.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The Apgar score is based on which 5 parameters?.

Correct Answer is D

Explanation

What should the nurse expect for a full-term newborn's weight during the first few days of life?.

Correct Answer is C

Explanation

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A nurse has been assigned to assess a pregnant client for abruptio placenta.
For which classic manifestation of this condition should the nurse assess?.