A nurse in a prenatal clinic is collecting data from a client who is at 26 weeks of gestation. Which of the following findings reported by the client should the nurse report to the provider?
"Asymptomatic palpitations"
"Abdominal cramping"
"Bleeding gums"
"White vaginal discharge"
The Correct Answer is B
A. Asymptomatic palpitations are generally not a concern during pregnancy. They can be a common and benign experience due to increased blood volume and changes in heart function.
B. Abdominal cramping at 26 weeks of gestation may indicate preterm labor or other complications and should be reported to the provider. Persistent or severe cramping can be a sign of potential issues requiring medical evaluation.
C. Bleeding gums are common due to increased blood flow and hormonal changes in pregnancy. This symptom is usually not serious but should still be monitored.
D. White vaginal discharge is normal during pregnancy and often increases as pregnancy progresses. It is usually not a sign of a problem unless accompanied by other symptoms.
Here’s a detailed answer for each of the s using the specified format:
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Kegel exercises strengthen pelvic floor muscles but do not alleviate afterpains, which are uterine contractions occurring postpartum.
B. Applying a cool compress to the abdomen may provide some relief, but it is not as effective as pain medication in reducing the discomfort associated with afterpains.
C. Placing the client in a side-lying position may provide comfort but does not specifically address the pain from uterine contractions.
D. Administering ibuprofen is effective for pain relief due to its anti-inflammatory properties, which help reduce the discomfort associated with afterpains by alleviating the uterine contractions.
Correct Answer is B
Explanation
A. Pruritus is not a common manifestation of hyperemesis gravidarum; it might be associated with liver conditions or other issues.
B. Decreased blood pressure can be an expected manifestation in hyperemesis gravidarum due to dehydration and possible hypovolemia.
C. Hemoglobin of 18 g/dL is higher than normal; hyperemesis gravidarum often leads to decreased hemoglobin due to malnutrition and dehydration.
D. A WBC count of 15,000/mm³ is slightly elevated but not specific for hyperemesis gravidarum; it might be indicative of an infection or inflammation, but it is not a defining characteristic of the condition.
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