A nurse is at the bedside to provide additional education and resources to a client about a new diagnosis.
The client in the OB clinic is visibly upset after their appointment with their provider and states, "My doctor told me that there is something wrong with my placenta and I will have to have a cesarean and hysterectomy when I deliver my baby.”. The nurse plans to provide education about which of the following placenta abnormalities?
Placenta accreta spectrum.
Placenta previa.
Placenta abruption.
Posterior placental location.
The Correct Answer is A
Choice A rationale
Placenta accreta spectrum involves abnormal adherence of the placenta to the uterine wall, leading to complications during delivery and often necessitating a cesarean and possibly a hysterectomy.
Choice B rationale
Placenta previa refers to the placenta covering the cervix, which can cause bleeding but is managed differently.
Choice C rationale
Placenta abruption is the premature separation of the placenta from the uterus, leading to pain and bleeding, managed differently from accreta spectrum.
Choice D rationale
Posterior placental location refers to the position of the placenta in the uterus and does not typically require a cesarean and hysterectomy unless complicated by other factors.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A"}
Explanation
Given the symptoms and physical examination findings, the nurse should anticipate a provider prescription for Acyclovir as evidenced by the presence of vesicles and pustules.
The case presented shows several key indicators that point toward a diagnosis of genital herpes, which is caused by the herpes simplex virus (HSV).
- Presence of vesicles and pustules: The small, pinpoint open vesicles and pustules on the labia majora, along with clear drainage, are classic signs of genital herpes.
- Erythema and tenderness: The redness (erythema) and tenderness of the perineal area further support this diagnosis.
- Systemic symptoms: The client reports muscle aches and chills, which are common systemic symptoms of a viral infection like herpes.
- Denies dysuria and other severe symptoms: The absence of symptoms like dysuria and acute distress is consistent with the presentation of genital herpes during the vesicle stage.
Acyclovir is an antiviral medication commonly prescribed for the treatment of herpes simplex infections. It helps to reduce the severity and duration of symptoms. Hence, the nurse should anticipate a prescription for Acyclovir based on the clinical presentation and findings.
Correct Answer is C
Explanation
Choice A rationale
HELLP syndrome includes elevated LDH levels, indicating hemolysis, not decreased levels.
Choice B rationale
HELLP syndrome involves hemolysis, reducing red blood cells, not increasing their production.
Choice C rationale
Elevated liver enzymes are a key feature of HELLP syndrome, reflecting liver damage.
Choice D rationale
HELLP syndrome is characterized by low platelets (thrombocytopenia), not increased platelets.
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