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.
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Betamethasone is a corticosteroid that helps accelerate the development of fetal lungs by increasing the production of surfactant. Surfactant is essential to prevent the collapse of the alveoli in the lungs, which can help in reducing the incidence of respiratory distress syndrome in preterm infants.
Choice B rationale
Betamethasone does not increase the fetal heart rate. While corticosteroids can have multiple effects on the body, their primary function in this context is to aid in lung maturation, not to directly affect the fetal heart rate.
Choice C rationale
Betamethasone does not increase amniotic fluid levels. The medication's role is focused on promoting lung maturity in the fetus rather than altering the volume of amniotic fluid surrounding the fetus.
Choice D rationale
Betamethasone is not used to stop preterm labor contractions. Its use is primarily for the maturation of the fetal lungs. Tocolytics are the class of medications typically used to suppress preterm labor contractions.
Correct Answer is ["A","B","D"]
Explanation
Choice A rationale
Vaginal spotting can be an early sign of preterm labor as it may indicate changes in the cervix.
Choice B rationale
Regular contractions occurring every 10 minutes or less suggest the onset of labor.
Choice C rationale
Weight gain is not a sign of preterm labor and is common in normal pregnancy progression.
Choice D rationale
Lower back pain or pelvic pressure can indicate preterm labor as these symptoms reflect changes in the lower uterus and cervix.
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