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 D

Explanation

Choice B rationale: Ceftriaxone does not commonly cause dark urine or a metallic taste. These side effects are typically associated with other antibiotics, like metronidazole. The nurse should provide accurate information about medication side effects to maintain client trust.

Choice C rationale: Azithromycin absorption is not significantly affected by calcium intake. Unlike tetracyclines, which bind with calcium and reduce efficacy, azithromycin’s pharmacokinetics remain stable, ensuring the medication effectively treats the infection.

Choice D rationale: Discussing options for notifying sexual partners is essential for preventing the spread of sexually transmitted infections. It ensures that partners can seek testing and treatment, reducing the risk of re-infection and promoting overall community health.

A. Two or more fetal heart rate accelerations within a 20-minute period. B. No late decelerations of the fetal heart rate. C. Late decelerations are present with a minimum of 50% of the contractions. D. Fetal heart rate accelerations less than 15 beats per minute or lasting less than 15 seconds.

Correct Answer is A

Explanation

Choice A rationale

A reactive nonstress test is defined as having two or more fetal heart rate accelerations of at least 15 beats per minute lasting 15 seconds or more within a 20-minute period.

Choice B rationale

No late decelerations of the fetal heart rate do not define a reactive nonstress test, which focuses on fetal heart rate accelerations as indicators of fetal well-being.

Choice C rationale

The presence of late decelerations in more than 50% of contractions indicates uteroplacental insufficiency and fetal distress, not a reactive nonstress test which requires accelerations.

Choice D rationale

Fetal heart rate accelerations less than 15 beats per minute or lasting less than 15 seconds do not meet the criteria for a reactive nonstress test, which requires accelerations of 15 beats per minute lasting 15 seconds or more.

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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

Naxlex Comprehensive Predictor Exams

Scenario: A nurse is caring for a 27-year-old female client in the clinic who is presumptively pregnant. Exhibits The nurse is teaching the client about the treatment plan. Which statement by the nurse would be appropriate?

Correct Answer is D

Explanation

The nurse reviews a client’s antepartum nonstress test results as reactive. The nurse interprets this finding as:

Correct Answer is A

Explanation

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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.

Scenario: A nurse is caring for a 27-year-old female client in the clinic who is presumptively pregnant. Exhibits Which two (2) client findings in the history and physical require further investigation?

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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.