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A nurse in an obstetrics office is reviewing a client’s medical record. The client is a 28-year-old female at 24 weeks gestation.

Exhibits

For each client finding, click to specify if the finding is a biophysical, psychosocial, or environmental risk factor that increases the client’s risk for pregnancy complications. There must be at least 1 selection in every row. There does not need to be a selection in every column.

A.

Ultrasound result

B.

Caffeine intake

C.

Job (cashier)

D.

Pets (cats)

E.

Medical history (anemia)

Answer and Explanation

The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"B,C"},"D":{"answers":"C"},"E":{"answers":"A"}}

  1. Ultrasound Result
    • Biophysical: The ultrasound result indicating normal fetal growth and development provides biophysical information about the fetus's condition.
  2. Caffeine Intake
    • Biophysical: Consuming 2 cups of coffee daily affects the biophysical aspect, as excessive caffeine intake can potentially impact fetal development.
  3. Job (Cashier)
    • Psychosocial: Prolonged standing and work-related stress can contribute to psychosocial risk factors during pregnancy.
    • Environmental: The physical demands and environment of the job can increase the risk for complications.
  4. Pets (Cats)
    • Environmental: Having cats at home poses an environmental risk due to the potential exposure to Toxoplasma gondii, a parasite that can cause toxoplasmosis.
  5. Medical History (Anemia)
    • Biophysical: A history of mild anemia and current slightly low hemoglobin levels indicate biophysical risk factors that can impact pregnancy.


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Related Questions

Correct Answer is B

Explanation

Choice A rationale

Uterine atony refers to a lack of muscle tone in the uterus, leading to postpartum hemorrhage, not subinvolution.

Choice B rationale

Prolonged lochia discharge indicates incomplete uterine involution, as the uterus has not returned to its pre-pregnancy size.

Choice C rationale

Severe cramping may be related to other postpartum complications and is not specific to subinvolution.

Choice D rationale

High fever is more indicative of an infection rather than subinvolution of the uterus.

Correct Answer is C

Explanation

Choice A rationale

Severe nausea and vomiting are not specific symptoms of a ruptured ectopic pregnancy but may occur due to other unrelated conditions.

Choice B rationale

Bradycardia is not characteristic of a ruptured ectopic pregnancy but could indicate other cardiovascular issues or conditions.

Choice C rationale

Referred shoulder pain is a hallmark symptom of a ruptured ectopic pregnancy due to diaphragmatic irritation from internal bleeding, indicating potential rupture.

Choice D rationale

Heavy vaginal bleeding can occur in various conditions but is not as specific to ruptured ectopic pregnancy as referred shoulder pain indicating internal bleeding.

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