A nurse is caring for a client at 28 weeks of gestation who has a blood pressure reading of 162/108 mm Hg, and 4 hours previously it was 148/98 mm Hg. Which of the following orders should the nurse anticipate receiving? (Select all that apply))
Complete blood count (CBC).
Aspartate aminotransferase (AST) and alanine transaminase (ALT).
Serum creatinine.
Fetal ultrasound.
Contraction stress test.
Amniocentesis.
Correct Answer : A,B,C,D
Choice A rationale
CBC will detect abnormalities such as anemia or infection, which may correlate with preeclampsia or HELLP syndrome.
Choice B rationale
Elevated AST and ALT levels indicate liver damage, a potential sign of severe preeclampsia or HELLP syndrome.
Choice C rationale
Serum creatinine helps assess kidney function, as preeclampsia can impair renal perfusion leading to elevated levels.
Choice D rationale
Fetal ultrasound assesses fetal growth, amniotic fluid volume, and placental function, critical in monitoring preeclampsia.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Breastfeeding a newborn 6-8 times a day is insufficient. Newborns typically need more frequent feedings to ensure adequate nutrition and growth, generally more than 8 times.
Choice B rationale
Newborns should be breastfed 8-12 times in a 24-hour period. This frequent feeding ensures they receive enough nutrients, helps establish milk supply, and supports healthy growth.
Choice C rationale
Feeding 10-14 times a day can be appropriate for some newborns but may not be necessary for all. The standard recommendation is 8-12 times, balancing nourishment and mother's comfort.
Choice D rationale
Breastfeeding 12-16 times a day is excessive and may cause maternal fatigue and discomfort. The general guideline of 8-12 times is sufficient to meet a newborn's nutritional needs.
Correct Answer is B
Explanation
Choice A rationale
Chronic hypertension increases the risk of complications but is not necessarily the highest risk compared to elevated blood pressure and obesity combined in pregnancy.
Choice B rationale
Elevated blood pressure and a high BMI significantly increase the risk for complications like preeclampsia, gestational diabetes, and preterm birth in pregnancy.
Choice C rationale
A 16-year-old pregnant client is at risk due to age, but not as high as the compounded risks of hypertension and obesity.
Choice D rationale
A history of fetal demise increases risk, but current elevated blood pressure and high BMI in an older client present higher immediate pregnancy complication risks.
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