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 A
Explanation
Choice A rationale
Hypoglycemia is a low blood glucose level that can occur in newborns who have macrosomia and whose mothers have diabetes mellitus. This is because the fetus produces excess insulin in response to the high maternal glucose levels, and after birth, the insulin level remains high while the glucose level drops. Hypoglycemia can cause seizures, lethargy, poor feeding, and brain damage in the newborn.
Choice B rationale
Hypomagnesemia is a low magnesium level that can occur in newborns who have intrauterine growth restriction (IUGR) and whose mothers have preeclampsia. This is because the placental insufficiency and the maternal hypertension impair the magnesium transfer to the fetus. Hypomagnesemia can cause tremors, irritability, hypotonia, and cardiac arrhythmias in the newborn.
Choice C rationale
Hyperbilirubinemia is a high bilirubin level that can occur in newborns who have hemolytic disease of the newborn (HDN) and whose mothers have Rh incompatibility or ABO incompatibility. This is because the maternal antibodies destroy the fetal red blood cells, which release bilirubin. Hyperbilirubinemia can cause jaundice, kernicterus, and brain damage in the newborn.
Choice D rationale
Hypocalcemia is a low calcium level that can occur in newborns who are preterm, small for gestational age (SGA), or have perinatal asphyxia. This is because the immature parathyroid gland, the low body fat, or the hypoxia impair the calcium regulation in the newborn. Hypocalcemia can cause jitteriness, tetany, seizures, and cardiac arrhythmias in the newborn.
Correct Answer is A
Explanation
Choice A rationale
This is the most appropriate response because it emphasizes the importance of a healthcare provider's role in determining the best contraceptive method for an individual. It also respects the client's privacy and autonomy¹².
Choice B rationale
While it's important to understand a person's sexual activity when discussing contraception, asking for such details might make the client uncomfortable and could be seen as intrusive¹.
Choice C rationale
This response might be perceived as judgmental or patronizing. It's important to provide factual information and support without making assumptions about the client's readiness for a sexual relationship¹.
Choice D rationale
While barrier methods can be effective, they might not be the best choice for everyone. The best contraceptive method depends on a variety of factors, including the individual's health, lifestyle, and personal preferences¹². Therefore, it's best to consult with a healthcare provider¹².
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