A nurse is assisting in the care of a client at 30 weeks of gestation who has a blood pressure reading of 160/116 mm Hg and 4 hours previously it was 164/114 mm Hg. The client reports blurred vision and a persistent frontal headache.
Which of the following complications of gestation should the nurse suspect?

Gestational hypertension.

Preeclampsia with severe features.

Preeclampsia without severe features.

Chronic hypertension.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Gestational hypertension is diagnosed when high blood pressure develops after 20 weeks of pregnancy without other symptoms of preeclampsia, such as proteinuria or end-organ dysfunction.

Choice B rationale

Preeclampsia with severe features includes high blood pressure, proteinuria, and symptoms like blurred vision and headaches. These indicate severe disease, which can endanger both the mother and the fetus if left untreated.

Choice C rationale

Preeclampsia without severe features involves high blood pressure and proteinuria but without the additional severe symptoms like blurred vision and headache.

Choice D rationale

Chronic hypertension refers to high blood pressure that was present before pregnancy or diagnosed before 20 weeks of gestation. It does not typically present with acute symptoms like blurred vision and headache that develop suddenly.

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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. .

A. History of cocaine use. B. History of pelvic inflammatory disease (PID). C. History of three previous cesarean births. D. History of hypertension.

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.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is postpartum. Which of the following findings is an indication for the nurse to administer Rho(D) immune globulin?

Correct Answer is D

Explanation

A nurse is reviewing the electronic medical record (EMR) of a client who has a ruptured ectopic tubal pregnancy. Which of the following findings in the client’s medical record should the nurse identify as a risk factor for the client's condition?

Correct Answer is B

Explanation

A nurse is reinforcing teaching to a parent about breastfeeding. Which of the following statements by the parent demonstrates understanding of the teaching?

A nurse is caring for a client who is postpartum. Which of the following findings is an indication for the nurse to administer Rho(D) immune globulin?

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?

A nurse is assisting in caring for a client who has pregestational type 1 diabetes mellitus (PDM). Which of the following findings should the nurse recognize as being associated with this condition?

A nurse is reinforcing teaching about newborn care with a client who is 2 hours postpartum. Which of the following statements by the client indicates a need for further teaching?

A practical nurse is gathering data on how a client in labor is coping with labor. Which of the following findings demonstrates the client is coping well?

A nurse is meeting a new client for a genetic counseling visit and wants to identify the main role of the nurse during this process. Which of the following statements should the nurse make?

A nurse is assisting with a newborn hearing test when the parent enters and asks what the nurse is doing. Which of the following statements should the nurse make?