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A nurse is caring for a 36-year-old female client in the emergency unit.

Exhibits

Complete the following sentence by using the lists of options. Upon reviewing the client's medical record, the nurse determines that the client is at risk for developing which of the following complications? Select. The nurse should recognize that the client is most likely experiencing a Select. and is at risk for developing if not treated quickly.

Answer and Explanation

The Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"C"}

Based on the given case, here's why the answer is "Threatened miscarriage" and "Hemorrhagic shock":

Threatened Miscarriage

Positive pregnancy test: The client has a confirmed intrauterine pregnancy.
Vaginal bleeding and cramping: The client presents with symptoms commonly associated with threatened miscarriage, such as significant abdominal cramping and moderate bleeding with clots.
Cervical os closed: In a threatened miscarriage, the cervix remains closed, which is consistent with the physical examination findings.

Hemorrhagic Shock

Moderate bleeding with clots: The client reports moderate bleeding which, if it continues unchecked, can lead to significant blood loss.
Severe abdominal cramping: Severe and constant abdominal pain can be associated with heavy bleeding.
Vital signs: Although the current vital signs are stable, prolonged or heavy bleeding can quickly lead to a drop in blood pressure and other signs of shock.

By recognizing these symptoms and acting promptly, the nurse can help prevent complications such as hemorrhagic shock.

Nursing Test Bank

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Naxlex Comprehensive Predictor Exams

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Free Nursing Study Resources

Correct Answer is B

Explanation

Choice A rationale

Uteroplacental insufficiency typically results in late decelerations, not a sudden drop in fetal heart rate, which is more commonly caused by umbilical cord compression.

Choice B rationale

Umbilical cord compression can cause variable decelerations, which are characterized by a sudden drop in fetal heart rate. This occurs due to the umbilical cord being compressed, leading to decreased blood flow and oxygen to the fetus.

Choice C rationale

Maternal bradycardia refers to a slow maternal heart rate and does not directly cause changes in the fetal heart rate pattern.

Choice D rationale

Fetal head compression typically causes early decelerations, which are gradual decreases in fetal heart rate that occur with contractions and are usually benign.

Correct Answer is ["2"]

Explanation

Step 1 is: 12 mg ÷ 6 mg/ml.

Step 2 is: 12 ÷ 6 = 2 ml. Answer: 2 ml

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is walking by a client's room and can hear the fetal heart rate dropping.The nurse observes the heartbeat and interprets the monitor strip as indicating which of the following?

Correct Answer is B

Explanation

A nurse is preparing to administer betamethasone 12mg IM to a client at 32 weeks gestation at risk for preterm delivery. Betamethasone is available as 6mg/ml. How many ml will the nurse prepare for injection? (Use a leading zero, if it applies. Do not use a trailing zero)

Correct Answer is ["2"]

Explanation

A 38-year-old multigravida returns to the clinic for a routine prenatal visit at 36 weeks gestation.Assessment findings include: blood pressure 140/90 mm Hg; pulse, 80 beats/min; respiratory rate, 16 breaths/min.The nurse suspects preeclampsia.What additional finding would the nurse assess for?

During preconception counseling, the nurse explains that during the first 8 weeks the fetus is most vulnerable to the effects of teratogens.What is occurring during the first 8 weeks of gestation?

A nurse in the newborn nursery is caring for a group of newborns.Which of the following assessments requires the nurse to notify the provider?

A client suspects she is pregnant.The nurse is discussing the probable signs of pregnancy with the client.Which of the following findings should the nurse include?

A nurse in a provider's office is caring for a 32-year-old female client who is pregnant. Exhibits Which of the following assessment findings should the nurse report to the provider? (Select all that apply.)

A nurse is caring for a client during the second trimester of pregnancy.After reviewing the client's blood work, the nurse notes the client is rubella non-immune.When should the client be offered the rubella immunization?