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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D"]
Explanation
Choice A rationale
Occipital bruising typically results from birth trauma due to compressive forces during delivery. While notable, it isn’t necessarily pathological in the context of common neonatal findings.
Choice B rationale
Yellowish sclera and blanching skin indicate neonatal jaundice from elevated bilirubin levels. Hyperbilirubinemia arises due to immature hepatic conjugation processes, necessitating close monitoring for kernicterus risk.
Choice C rationale
A transcutaneous bilirubin level of 12.5 mg/dL exceeds normal (<12 mg/dL) for newborns, indicating hyperbilirubinemia. It reflects excessive hemolysis or liver immaturity requiring therapeutic interventions like phototherapy.
Choice D rationale
Phototherapy at 08: targets bilirubin breakdown into water-soluble forms for excretion. Blue light exposure facilitates reduced serum bilirubin levels, mitigating neonatal jaundice complications promptly. .
Correct Answer is C
Explanation
Choice A rationale
Yearly Pap tests until 70 years of age are not universally recommended. Current guidelines suggest screening every three years for most individuals, dependent on specific health factors.
Choice B rationale
Removal of ovaries does not eliminate the need for Pap tests. Cervical tissue, the focus of the test, remains unless a hysterectomy with cervix removal is performed.
Choice C rationale
Avoiding intercourse for 24 hours minimizes contamination of cervical cells with external materials, ensuring accurate Pap test results. It is an important preparatory guideline.
Choice D rationale
Pap tests detect cervical dysplasia or malignancy rather than viral infections. Secondary HPV-related cellular changes may be identified, but it is not a primary diagnostic tool for viruses.
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