A nurse in a provider's office is caring for a client who is at 34 weeks of gestation and at risk for placental abruption. The nurse should recognize that which of the following is the most common risk factor for abruption?
Cigarette smoking
Hypertension
Blunt force trauma
Cocaine use
The Correct Answer is B
Choice A rationale
This is incorrect because cigarette smoking is not the most common risk factor for abruption. Cigarette smoking can increase the risk of abruption by causing vasoconstriction and reducing placental blood flow, but it is less prevalent and less severe than hypertension.
Choice B rationale
This is correct because hypertension is the most common risk factor for abruption. Hypertension can cause damage to the uterine vessels and lead to bleeding and separation of the placenta from the uterine wall. Hypertension affects about 40% of clients who experience abruption and can be chronic or pregnancy-induced.
Choice C rationale
This is incorrect because blunt force trauma is not the most common risk factor for abruption. Blunt force trauma can cause abruption by applying direct pressure or shear force to the placenta, but it is less common and less predictable than hypertension. Blunt force trauma can result from motor vehicle accidents, falls, or physical abuse.
Choice D rationale
This is incorrect because cocaine use is not the most common risk factor for abruption. Cocaine use can increase the risk of abruption by causing vasoconstriction and uterine contractions, but it is less common and less consistent than hypertension. Cocaine use can also cause other complications, such as fetal growth restriction, preterm labor, or stillbirth.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
This is incorrect because the right upper quadrant is not the most likely location for fetal heart tones. The round, firm, movable part in the fundus of the uterus indicates that the fetal head is in the breech position. The long, smooth surface on the client's right side suggests that the fetal spine is on the same side. Therefore, the fetal heart tones would be best heard in the lower right quadrant, where the fetal chest is located.
Choice B rationale
This is incorrect because the left upper quadrant is not the most likely location for fetal heart tones. The round, firm, movable part in the fundus of the uterus indicates that the fetal head is in the breech position. The long, smooth surface on the client's right side suggests that the fetal spine is on the opposite side. Therefore, the fetal heart tones would be best heard in the lower right quadrant, where the fetal chest is located.
Choice C rationale
This is incorrect because the left lower quadrant is not the most likely location for fetal heart tones. The round, firm, movable part in the fundus of the uterus indicates that the fetal head is in the breech position. The long, smooth surface on the client's right side suggests that the fetal spine is on the opposite side. Therefore, the fetal heart tones would be best heard in the lower right quadrant, where the fetal chest is located.
Choice D rationale
This is correct because the right lower quadrant is the most likely location for fetal heart tones. The round, firm, movable part in the fundus of the uterus indicates that the fetal head is in the breech position. The long, smooth surface on the client's right side suggests that the fetal spine is on the same side. Therefore, the fetal heart tones would be best heard in the lower right quadrant, where the fetal chest is located.
Correct Answer is A
Explanation
Choice A rationale
Postpartum hemorrhage is a serious complication that can occur after a vaginal delivery. Methylergonovine is a medication that stimulates the uterine contractions and reduces the bleeding from the placental site.
Choice B rationale
Postpartum infection is another possible complication after a vaginal delivery, but methylergonovine is not used to prevent it. Antibiotics are the main treatment for postpartum infections.
Choice C rationale
Thromboembolic events are blood clots that can form in the veins or arteries and cause life-threatening conditions such as pulmonary embolism or stroke. Methylergonovine is not used to prevent thromboembolic events. Anticoagulants are the main prevention for thromboembolic events.
Choice D rationale
Hypertension is high blood pressure that can cause damage to the organs and increase the risk of cardiovascular diseases. Methylergonovine is not used to prevent hypertension. In fact, methylergonovine can cause hypertension as a side effect and should be used with caution in clients with high blood pressure. Antihypertensives are the main treatment for hypertension.
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
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
