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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Related Questions
Correct Answer is C
Explanation
Choice A rationale
Decreased arterial resistance is not associated with eclampsia. Eclampsia is characterized by increased arterial resistance due to hypertension and vascular changes during pregnancy.
Choice B rationale
Unexpected placental implantation is not a feature of eclampsia. Eclampsia is related to the development of seizures in the context of preeclampsia, which involves high blood pressure and organ damage.
Choice C rationale
Increased uterine spiral artery remodeling is associated with the pathophysiology of eclampsia. Poor remodeling leads to inadequate blood flow to the placenta, contributing to the development of hypertension and related complications.
Choice D rationale
Vasodilation is not typically associated with eclampsia. Instead, vasoconstriction and endothelial dysfunction are more common, leading to high blood pressure and potential organ damage.
Correct Answer is D
Explanation
Choice A rationale
If both the client and the newborn are Rh positive, there is no risk of Rh incompatibility, and Rho(D) immune globulin is not needed.
Choice B rationale
If the client is Rh positive and the newborn is Rh negative, there is no risk of Rh incompatibility, and Rho(D) immune globulin is not needed.
Choice C rationale
If both the client and the newborn are Rh negative, there is no risk of Rh incompatibility, and Rho(D) immune globulin is not needed.
Choice D rationale
If the client is Rh negative and the newborn is Rh positive, there is a risk of Rh incompatibility, and Rho(D) immune globulin is needed to prevent the development of Rh sensitization in future pregnancies. .
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