A nurse in an obstetrics office is reviewing a client's medical record.

Exhibits

Which of the following findings increase the client's risk for pregnancy complications? Select the 2 findings that increase the client's risk for pregnancy complications.

Surgical history

Medical history

Age

BMI

Psychosocial history

Answer and Explanation

Correct Answer : B,C

Choice A rationale: Surgical history does not necessarily increase pregnancy complications, especially with resolved conditions like cholecystectomy and appendectomy. However, each surgical procedure's impact varies, and this client's surgeries were neither recent nor directly related to reproductive health.

Choice B rationale: Asthma and hypertension both increase pregnancy risk. Uncontrolled asthma can lead to preeclampsia and low birth weight. Hypertension, particularly with losartan use, can affect placental function and fetal development, necessitating close monitoring and medication adjustment.

Choice C rationale: Advanced maternal age (over 35) heightens risks such as chromosomal abnormalities, gestational diabetes, and preeclampsia. Pregnancy complications increase with age, necessitating more frequent prenatal monitoring and potential interventions to ensure maternal and fetal health.

Choice D rationale: BMI information isn't provided, making it impossible to assess its impact. BMI outside the normal range can influence pregnancy outcomes, but without this data, we cannot definitively link it to increased risk in this scenario.

Choice E rationale: Psychosocial factors, like recent marriage and work stress, do influence pregnancy, but the primary clinical concerns here are medical history and age. Addressing psychosocial stress is still important but is secondary to physiological conditions.

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Correct Answer is ["A","C","E"]

Explanation

Choice A rationale

Linea nigra, a dark line on the abdomen, appears due to increased melanocyte-stimulating hormone during pregnancy.

Choice B rationale

Eczema is not specifically associated with pregnancy and can occur independently of it.

Choice C rationale

Striae gravidarum, or stretch marks, are due to skin stretching and increased cortisone during pregnancy.

Choice D rationale

Psoriasis is not commonly related to pregnancy changes and occurs regardless of pregnancy.

Choice E rationale

Chloasma, also known as the mask of pregnancy, is due to increased pigmentation from hormonal changes.

A. The type of contraceptive being used by the patient and her partner. B. The number of past pregnancies the patient has had. C. The patient’s age of menarche. D. History of iodine allergy.

Correct Answer is D

Explanation

Choice A rationale

The type of contraceptive used is not directly relevant for a hysterosalpingogram test. The test focuses on the structure and patency of the uterine cavity and fallopian tubes, not contraceptive history.

Choice B rationale

While the number of past pregnancies might be clinically relevant, it does not directly impact the hysterosalpingogram procedure. This test is typically used to evaluate tubal patency and uterine abnormalities regardless of pregnancy history.

Choice C rationale

The patient's age of menarche is not pertinent to a hysterosalpingogram test. Menarche age relates more to puberty and menstrual cycle history, which are not focal points of this imaging procedure.

Choice D rationale

Iodine allergy is crucial to identify before a hysterosalpingogram, as the procedure often involves the use of an iodine-based contrast dye. Identifying allergies helps prevent potential allergic reactions to the dye.

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A nurse in an obstetrics office is reviewing a client's medical record. Exhibits Which of the following findings increase the client's risk for pregnancy complications? Select the 2 findings that increase the client's risk for pregnancy complications.

Nursing Test Bank

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Explanation

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Correct Answer is D

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A nurse in an obstetrics office is reviewing a client's medical record.

Exhibits

Which of the following findings increase the client's risk for pregnancy complications? Select the 2 findings that increase the client's risk for pregnancy complications.