A nurse is caring for a client in the OB clinic at 34 weeks gestation.Which of the following symptoms reported by the client is indicative of cholestasis of pregnancy?

Pruritus of the palms of the hands.

Back pain and pelvic pressure.

Nausea and vomiting.

Headaches and blurred vision.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Pruritus of the palms of the hands is a hallmark symptom of cholestasis of pregnancy, a liver disorder causing bile acid accumulation.

Choice B rationale

Back pain and pelvic pressure are common pregnancy symptoms but are not specific to cholestasis.

Choice C rationale

Nausea and vomiting can be due to many conditions in pregnancy and are not indicative of cholestasis.

Choice D rationale

Headaches and blurred vision are associated with preeclampsia, not cholestasis.

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Correct Answer is D

Explanation

Choice A rationale

Uterine contractions are not a primary indicator of preeclampsia but rather of labor.

Choice B rationale

Preeclampsia is associated with hyperreflexia, not decreased deep tendon reflexes.

Choice C rationale

Preeclampsia is primarily monitored through blood pressure and proteinuria, not blood glucose levels.

Choice D rationale

Proteinuria is a key indicator of preeclampsia, caused by kidney damage due to high blood pressure.

A. Abdominal assessment B. Abdominal pain level C. Uterine tone D. Description of bleeding

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

Explanation

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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A nurse is caring for a client in the OB clinic at 34 weeks gestation.Which of the following symptoms reported by the client is indicative of cholestasis of pregnancy?

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Naxlex Comprehensive Predictor Exams

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?

Correct Answer is D

Explanation

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?

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

Explanation

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