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 B
Explanation
Choice A rationale
History of cocaine use increases the risk for placental abruption but is not a direct risk factor for ectopic pregnancy.
Choice B rationale
History of pelvic inflammatory disease (PID) is a significant risk factor for ectopic pregnancy due to the damage and scarring it can cause to the fallopian tubes, leading to implantation outside the uterus.
Choice C rationale
History of three previous cesarean births increases the risk of uterine rupture or placenta previa but not specifically ectopic pregnancy.
Choice D rationale
History of hypertension is not directly related to the risk of ectopic pregnancy; it is more associated with complications like preeclampsia and gestational hypertension.
Correct Answer is B
Explanation
Choice A rationale
Whitish vaginal discharge is not typically associated with a hydatidiform mole. Instead, it can be a normal finding or related to other conditions.
Choice B rationale
Excessive uterine enlargement is a common sign of a hydatidiform mole, as the abnormal growths cause the uterus to expand more than expected for the gestational age.
Choice C rationale
Rapidly dropping hCG levels are not associated with a hydatidiform mole. In fact, hCG levels are typically abnormally high in cases of a hydatidiform mole due to the overproduction of hCG by the trophoblastic tissue.
Choice D rationale
Fetal heart rate irregularities are not applicable in the case of a complete hydatidiform mole, as there is no viable fetus present.
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