A nurse has received a change-of-shift report for four clients. Which of the following clients should the nurse identify as being at the highest risk for a complication of pregnancy?

A 30-year-old client who has chronic hypertension.

A 37-year-old client who has a BMI over 30 and is experiencing elevated blood pressure.

A 16-year-old client who is pregnant for the first time.

A 28-year-old client with a history of fetal demise.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Chronic hypertension increases the risk of complications but is not necessarily the highest risk compared to elevated blood pressure and obesity combined in pregnancy.

Choice B rationale

Elevated blood pressure and a high BMI significantly increase the risk for complications like preeclampsia, gestational diabetes, and preterm birth in pregnancy.

Choice C rationale

A 16-year-old pregnant client is at risk due to age, but not as high as the compounded risks of hypertension and obesity.

Choice D rationale

A history of fetal demise increases risk, but current elevated blood pressure and high BMI in an older client present higher immediate pregnancy complication risks.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is ["A","D"]

Explanation

Choice A rationale

Placing the mother in the knee-chest position helps relieve pressure on the umbilical cord, improving blood flow and oxygen delivery to the fetus.

Choice B rationale

Encouraging vigorous pushing can exacerbate the prolapse, reducing blood flow to the fetus and increasing the risk of complications.

Choice C rationale

Applying a warm compress to the umbilical cord is not effective in managing a prolapsed cord and does not improve fetal outcomes.

Choice D rationale

Administering oxygen to the mother increases the amount of oxygen delivered to the fetus, potentially mitigating the effects of the prolapse.

A. It is a common occurrence in newborns. B. It indicates an underlying disease or condition. C. It is a result of immature liver function. D. It is a normal physiological response in newborns.

Correct Answer is B

Explanation

Choice A rationale

While jaundice is common, jaundice at 24 hours old is not typical and may indicate a serious underlying condition.

Choice B rationale

Jaundice within the first 24 hours suggests possible hemolysis or infection, both of which require immediate medical attention.

Choice C rationale

Although an immature liver can cause jaundice, jaundice appearing within 24 hours warrants further investigation for pathological causes.

Choice D rationale

Normal physiological jaundice usually appears after 24 hours, peaking around days 3 to 5 of life.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse has received a change-of-shift report for four clients. Which of the following clients should the nurse identify as being at the highest risk for a complication of pregnancy?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which interventions are appropriate when managing a prolapsed umbilical cord during labor? (Select all that apply)

Correct Answer is ["A","D"]

Explanation

A newborn is assessed and found to be jaundiced at 24 hours old. What is the significance of this finding?

Correct Answer is B

Explanation

A nurse is teaching a client at 24 weeks of gestation about special considerations of gestational diabetes mellitus (GDM). Which of the following statements by the client indicates that the teaching was effective? (Select all that apply)

A nurse is assisting with providing care for a client who is in preterm labor at 32 weeks of gestation. Which of the following medications should the nurse anticipate the provider will prescribe to help with lung maturity?

A patient is admitted to labor and delivery for management of severe preeclampsia. An IV infusion of magnesium sulfate is ordered. What is the primary goal for magnesium sulfate therapy?

A nurse is caring for a client at 28 weeks of gestation who has a blood pressure reading of 162/108 mm Hg, and 4 hours previously it was 148/98 mm Hg. Which of the following orders should the nurse anticipate receiving? (Select all that apply))

A nurse is reviewing the medical record of a client who gave birth 2 hours ago. Which of the following findings increases the client’s risk for postpartum hemorrhage?

A nurse is caring for a newborn who is experiencing hyperbilirubinemia and is receiving phototherapy. Which of the following findings indicate that the phototherapy is effective?

What is the recommended frequency for breastfeeding a newborn in a 24-hour period?