A nurse is caring for a client at 37 weeks gestation with new reports of headache, edema of the face and right upper quadrant abdominal pain.
Which of the following diagnostic tests would the nurse anticipate the provider ordering?
CBC, CMP, Urinalysis, Clotting studies.
HgA1C.
Abdominal ultrasound.
CBC, Amylase, Lipase, Bile acids.
The Correct Answer is A
Choice A rationale
CBC (Complete Blood Count), CMP (Comprehensive Metabolic Panel), Urinalysis, and Clotting studies are crucial tests in this scenario. Headache, edema of the face, and right upper quadrant abdominal pain in a pregnant client at 37 weeks gestation are concerning for preeclampsia or HELLP syndrome (Hemolysis, Elevated Liver enzymes, Low Platelet count). CBC can help detect hemolysis and thrombocytopenia, CMP can evaluate liver function, Urinalysis can check for proteinuria indicative of preeclampsia, and Clotting studies assess coagulation status, which is vital for detecting any disseminated intravascular coagulation (DIC) complications.
Choice B rationale
HgA1C is a test used to monitor long-term glucose control in clients with diabetes. Although it provides valuable information regarding glucose levels over the past 2-3 months, it is not relevant in the immediate assessment of acute symptoms like headache, edema, and abdominal pain in the context of preeclampsia or HELLP syndrome.
Choice C rationale
Abdominal ultrasound can be used to assess fetal well-being and placental function, but it does not directly address the immediate concerns associated with preeclampsia or HELLP syndrome. It can be a supportive diagnostic tool but not the primary assessment in this acute scenario.
Choice D rationale
CBC, Amylase, Lipase, and Bile acids are tests typically used to evaluate for pancreatitis or liver disease. While CBC is relevant, the inclusion of Amylase, Lipase, and Bile acids does not directly correlate with the specific symptoms of headache, edema, and right upper quadrant pain associated with preeclampsia or HELLP syndrome. Thus, this combination is not the most appropriate set of diagnostic tests for the client's condition. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Wearing the seatbelt under the arm is not recommended as it may not distribute the force of a collision evenly and could increase the risk of injury to both the mother and the baby. Proper positioning is crucial for safety.
Choice B rationale
Positioning the lap belt under the abdomen and the shoulder belt between the breasts and above the abdomen minimizes the risk of abdominal trauma and ensures both mother and baby are protected in the event of a collision. This is the recommended positioning for pregnant women.
Choice C rationale
Avoiding a seatbelt during pregnancy is not advised as it significantly increases the risk of injury or death for both the mother and the baby in the event of an accident. Seatbelts are crucial for safety.
Choice D rationale
Removing the seatbelt when driving at a slow speed still poses a significant risk. Even at low speeds, sudden stops or collisions can cause harm to both mother and baby. Consistent seatbelt use is essential.
Correct Answer is ["A","B","D","E"]
Explanation
E.
Choice A rationale
Cytomegalovirus (CMV) is a common infection that can be transmitted to the fetus, leading to serious complications such as hearing loss, vision impairment, and developmental delays. It is one of the TORCH infections.
Choice B rationale
Herpes Simplex Virus (HSV) can be transmitted to the baby during delivery, especially if there is an active outbreak. It can cause severe neonatal infections, making it a significant concern during pregnancy.
Choice C rationale
Hepatitis B is not classified under the TORCH infections. While it is a serious concern in pregnancy, it is typically managed through vaccination and other precautions to prevent vertical transmission to the baby.
Choice D rationale
Rubella is part of the TORCH complex and can lead to congenital rubella syndrome, causing serious birth defects such as heart problems, developmental delays, and hearing loss if the mother contracts it during pregnancy.
Choice E rationale
Toxoplasmosis is included in the TORCH infections and can cause severe fetal complications such as brain damage, vision problems, and developmental delays if the mother is infected during pregnancy.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.