A nurse is assisting in the care of a client at 26 weeks of gestation who has just experienced an eclamptic seizure.
Which of the following interventions should the nurse expect at this time?
Continuous fetal monitoring.
Antenatal steroid administration.
Expectant management protocol.
Umbilical artery blood flow analysis.
The Correct Answer is A
Choice A rationale
Continuous fetal monitoring is expected because it provides ongoing information about the fetal heart rate and contractions, which is crucial after an eclamptic seizure.
Choice B rationale
Antenatal steroid administration is not the immediate intervention post-seizure but is given to enhance fetal lung maturity if preterm delivery is anticipated.
Choice C rationale
Expectant management protocol is incorrect because active management is required in the case of an eclamptic seizure to stabilize the mother and fetus.
Choice D rationale
Umbilical artery blood flow analysis might be part of a comprehensive evaluation but is not the immediate priority post-eclampsia seizure.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Continuous fetal monitoring is expected because it provides ongoing information about the fetal heart rate and contractions, which is crucial after an eclamptic seizure.
Choice B rationale
Antenatal steroid administration is not the immediate intervention post-seizure but is given to enhance fetal lung maturity if preterm delivery is anticipated.
Choice C rationale
Expectant management protocol is incorrect because active management is required in the case of an eclamptic seizure to stabilize the mother and fetus.
Choice D rationale
Umbilical artery blood flow analysis might be part of a comprehensive evaluation but is not the immediate priority post-eclampsia seizure.
Correct Answer is D
Explanation
Choice A rationale
An occult cord prolapse occurs when the umbilical cord is hidden but not necessarily within the vagina. It is often compressed alongside the fetus, causing a risk for decreased oxygenation.
Choice B rationale
An occult prolapsed cord is not characterized by being wrapped around the fetal neck; that condition is known as a nuchal cord.
Choice C rationale
A compound prolapsed cord does not involve the cord being felt through the cervix inside an intact amniotic sac. Instead, it involves the cord alongside the fetal presenting part.
Choice D rationale
An overt prolapsed cord occurs when the umbilical cord comes through the cervix ahead of the presenting part, posing significant risk due to potential cord compression and interruption of blood flow to the fetus.
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