A nurse is caring for a 30-year-old female client who is gravida 4, para 3, at 32 weeks of gestation in the antepartum clinic.

Exhibits

A nurse reviews the assessment findings and determines the findings are consistent with which of the following complications?

Abdominal assessment

Abdominal pain level

Uterine tone

Description of bleeding

Answer and Explanation

The Correct Answer is {"A":{"answers":"B"},"B":{"answers":"B"},"C":{"answers":"B"},"D":{"answers":"A"}}

Based on the assessment findings, the nurse determines that the findings are consistent with abruptio placentae (placental abruption)1.

Here's a breakdown of the findings:

Abdominal assessment: Rigid and tender abdomen21.
Abdominal pain level: The client reports abdominal pain21.
Uterine tone: No evidence of uterine contractions21.
Description of bleeding: Dark red vaginal bleeding21.

Placental abruption is characterized by the placenta partially or completely separating from the uterine wall before delivery, which can cause painful bleeding and a rigid, tender abdomen21

Here's a table with the assessment findings, indicating which findings are consistent with placenta previa and abruptio placentae:

Assessment Findings	Placenta Previa	Abruptio Placentae
Abdominal assessment		✔
Abdominal pain level		✔
Uterine tone		✔
Description of bleeding	✔	✔

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Correct Answer is A

Explanation

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.

A. Cerebral manifestations B. Fetal heart rate C. Deep tendon reflexes D. Gastrointestinal assessment findings E. Respiratory rate F. Blood pressure

Correct Answer is ["A","D","F"]

Explanation

Choice A rationale:

Cerebral manifestations, such as headaches and dizziness, can be indicative of severe preeclampsia, a condition that requires immediate attention to prevent complications for both the mother and the fetus.

Choice B rationale:

The fetal heart rate of 155 bpm is within the normal range for a fetus at 36 weeks of gestation (110-160 bpm). Therefore, this finding is not necessarily abnormal or concerning, and does not need immediate reporting to the provider.

Choice C rationale:

Deep tendon reflexes (DTRs) of 3+ are slightly brisk, but the absence of clonus makes this finding less concerning for severe preeclampsia or eclampsia, so it does not need immediate reporting.

Choice D rationale:

Gastrointestinal assessment findings, such as right upper quadrant pain and persistent "heartburn," are concerning for possible HELLP syndrome (Hemolysis, Elevated Liver enzymes, Low Platelets), a severe form of preeclampsia that requires immediate attention.

Choice E rationale:

The respiratory rate of 20/min is within normal limits for an adult (12-20 breaths per minute) and does not indicate an immediate concern that needs to be reported to the provider.

Choice F rationale:

The blood pressure of 156/90 mm Hg is elevated and indicative of hypertension, which is concerning for preeclampsia and requires immediate attention to prevent complications for the mother and fetus.

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A nurse is caring for a 30-year-old female client who is gravida 4, para 3, at 32 weeks of gestation in the antepartum clinic. Exhibits A nurse reviews the assessment findings and determines the findings are consistent with which of the following complications?

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Correct Answer is A

Explanation

A nurse is providing care at a routine visit for a 28-year-old female client who is at 36 weeks of gestation in the clinic. Exhibits Which of the following findings should the nurse report to the provider? (Select all that apply.)

Correct Answer is ["A","D","F"]

Explanation

A nurse in a provider's office is caring for a client who is at 37 weeks of gestation and at risk for placental abruption.The nurse should recognize that which of the following is a risk factor for abruption?

A nurse is caring for a 30-year-old female client who is gravida 4, para 3, at 32 weeks of gestation in the antepartum clinic. Exhibits A nurse reviews the assessment findings and determines the findings are consistent with which of the following complications?

A nurse is caring for a client who is at 36 weeks of gestation and who has a suspected placenta previa.Which of the following findings support this diagnosis?

A 38-year-old multigravida returns to the clinic for a routine prenatal visit at 36 weeks gestation.Assessment findings include blood pressure: 149/93 mm Hg, pulse: 80 beats/min, respiratory rate: 16 breaths/min.The nurse suspects preeclampsia.What additional finding would the nurse assess for?

A nurse is caring for a client receiving Magnesium Sulfate therapy IV for preterm labor.Which of the following medications should the nurse anticipate administering if the client exhibits hypotension, decreased urine output, and a respiratory rate of 10/min?

A nurse is caring for a client who has preeclampsia and is being treated with magnesium sulfate.The client's respiratory rate is 10/min and deep-tendon reflexes are absent.Which of the following actions should the nurse take first?

A nurse is providing education about TORCH infections to a pregnant client and her partner.The nurse identifies that the client is at risk for which infection?

A client at 27 weeks gestation has completed the 1-hour Glucose Tolerance Test (GTT) with a result of 160 mg/dL (expected: less than 130-140 mg/dL). What education would the nurse provide following this test result?

A nurse is caring for a 30-year-old female client who is gravida 4, para 3, at 32 weeks of gestation in the antepartum clinic.

Exhibits

A nurse reviews the assessment findings and determines the findings are consistent with which of the following complications?