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.
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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Related Questions
Correct Answer is B
Explanation
Choice A rationale
Hypothyroidism is associated with certain conditions like iodine deficiency, but it is not a primary risk in the described situation. It does not specifically link to the immediate complications presented here.
Choice B rationale
Fallopian tube rupture is a critical complication of conditions like ectopic pregnancy, emphasizing the importance of timely diagnosis and intervention to prevent life-threatening internal bleeding and sepsis.
Choice C rationale
Hypovolemic shock, while life-threatening, is a secondary complication arising from severe conditions like abrupt rupture or hemorrhage. It is crucial but not as directly relevant as addressing fallopian tube rupture.
Choice D rationale
An invasive mole is a concern in certain pregnancies, especially following molar pregnancies, but the scenario here does not predominantly highlight invasive mole development.
Correct Answer is D
Explanation
Choice A rationale
IUD replacement depends on the type. For instance, hormonal IUDs typically last 3-5 years, and copper IUDs can last up to 10 years. Annual replacement is unnecessary.
Choice B rationale
Spermicide use is unnecessary with an IUD as its primary function is to prevent fertilization. This statement reflects a lack of understanding of IUD mechanisms.
Choice C rationale
Periods may become lighter or irregular with hormonal IUDs, but they rarely stop completely. Copper IUDs may actually increase menstrual flow in some cases.
Choice D rationale
Checking for the string ensures proper IUD positioning and functionality. This monthly practice helps detect dislodgement or expulsion, which can compromise contraceptive effectiveness.
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