A nurse is assisting in the care of a client who has eclampsia.
Which of the following changes should the nurse recognize as being associated with eclampsia?
Decreased arterial resistance.
Unexpected placental implantation.
Increased uterine spiral artery remodeling.
Vasodilation.
The Correct Answer is C
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Rh positive clients with Rh positive newborns do not require Rho(D) immune globulin because there is no risk of Rh incompatibility.
Choice B rationale
If both the client and the newborn are Rh positive, Rho(D) immune globulin is not needed since there is no risk of the client developing antibodies against Rh positive cells.
Choice C rationale
Rh negative clients with Rh negative newborns also do not require Rho(D) immune globulin since there is no Rh positive blood to cause an immune response.
Choice D rationale
Rh negative clients with Rh positive newborns need Rho(D) immune globulin to prevent the client from developing antibodies against Rh positive blood, which could affect future pregnancies.
Correct Answer is B
Explanation
Choice A rationale
Magnesium sulfate is used to manage preeclampsia and prevent seizures, not for treating postpartum hemorrhage. It does not address the causes of excessive vaginal bleeding post-birth.
Choice B rationale
Tranexamic acid is an antifibrinolytic agent that helps reduce bleeding by preventing the breakdown of blood clots, making it suitable for managing postpartum hemorrhage.
Choice C rationale
Betamethasone is a corticosteroid used to mature fetal lungs in preterm labor, not for treating postpartum hemorrhage. It has no role in managing excessive bleeding after birth.
Choice D rationale
Terbutaline is a tocolytic used to delay preterm labor by relaxing uterine muscles. It is not used to manage postpartum hemorrhage and excessive vaginal bleeding.
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