A nurse is assessing a client who is at 31 weeks of gestation.
Which of the following findings should the nurse identify as an indication of a potential prenatal complication?

Periodic tingling of fingers.

Absence of clonus.

Leg cramps.

Blurred vision.

Answer and Explanation

The Correct Answer is D

Choice A rationale

Tingling of fingers in pregnancy is linked to hormonal changes and fluid retention, which may cause mild carpal tunnel syndrome. This is a common and non-complication-related discomfort in pregnancy.

Choice B rationale

Absence of clonus indicates no hyperreflexia or neurological compromise. In pregnancy, clonus presence may signal severe preeclampsia, but absence signifies normal neurological function.

Choice C rationale

Leg cramps result from changes in calcium and magnesium metabolism during pregnancy. These are common but are not associated with serious complications unless persistent and related to electrolyte imbalances.

Choice D rationale

Blurred vision may result from severe preeclampsia or elevated blood pressure, signifying potential end-organ damage. It requires immediate medical evaluation to prevent progression to eclampsia.

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Correct Answer is A

Explanation

Choice A rationale

Abruptio placentae involves premature placental separation, linked to cocaine use, which increases vasoconstriction and hypertension. Symptoms include pain, vaginal bleeding, and fetal distress due to impaired placental function.

Choice B rationale

Hydatidiform mole causes abnormal trophoblastic growth with no association with cocaine use. Signs include significantly elevated HCG and uterine enlargement unrelated to gestational age.

Choice C rationale

Preterm labor may follow substance use but lacks the hallmark signs of pain and bleeding characteristic of abruptio placentae. Preterm labor focuses on uterine contractions and cervical changes.

Choice D rationale

Placenta previa presents with painless vaginal bleeding and no abdominal pain. Cocaine use does not heighten placenta previa risk directly but may cause other obstetric complications.

A. Methyldopa. B. Lisinopril. C. Labetalol. D. Losartan. E. Hydralazine.

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

Explanation

Choice A rationale

Methyldopa is a first-line antihypertensive for pregnancy-induced hypertension. It is safe, effective, and preferred due to its minimal placental transfer and limited fetal impact.

Choice B rationale

Lisinopril, an ACE inhibitor, is contraindicated in pregnancy due to teratogenic risks, including fetal renal malformations and oligohydramnios. It poses significant dangers to fetal health.

Choice C rationale

Labetalol, a combined alpha and beta-blocker, is recommended for managing hypertensive crises in pregnancy. It offers effective blood pressure control with a favorable safety profile.

Choice D rationale

Losartan, an angiotensin II receptor blocker, is not recommended in pregnancy. It risks fetal toxicity, including kidney dysfunction and growth restriction, similar to ACE inhibitors.

Choice E rationale

Hydralazine is a vasodilator safe for pregnancy. It is recommended for treating severe hypertensive emergencies, particularly in preeclampsia, due to its efficacy in reducing vascular resistance.

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A nurse is assessing a client who is at 31 weeks of gestation.Which of the following findings should the nurse identify as an indication of a potential prenatal complication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is at 38 weeks of gestation and is experiencing continuous abdominal pain and vaginal bleeding.The client has a history of cocaine use.The nurse should identify that the client is likely experiencing which of the following complications?

Correct Answer is A

Explanation

For each of the following potential antihypertensive medications, indicate whether it is recommended or not recommended for use in a pregnant client.

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

Explanation

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Complete the following sentence using the lists of options.

A nurse is assessing a client who is at 31 weeks of gestation.
Which of the following findings should the nurse identify as an indication of a potential prenatal complication?