A nurse is caring for a client who is at 32 weeks of gestation.Hemoglobin level is 8 g/dL (normal: 12 to 16 g/dL). Platelet count is 100,000/mm³ (normal: 150,000 to 400,000/mm³). Which of the following complications is the nurse most likely dealing with?
Placenta Previa.
Abruptio Placentae.
Gestational Hypertension.
Preeclampsia.
The Correct Answer is D
Choice A rationale
Placenta previa is characterized by painless, bright red vaginal bleeding in the third trimester, not by low hemoglobin and platelet levels.
Choice B rationale
Abruptio placentae involves painful vaginal bleeding, uterine tenderness, and contractions, and is not primarily associated with low hemoglobin and platelet counts.
Choice C rationale
Gestational hypertension is identified by high blood pressure without proteinuria or severe systemic symptoms, and typically doesn't lead to low platelet counts or hemoglobin levels.
Choice D rationale
Preeclampsia includes hypertension, proteinuria, and systemic symptoms like low platelet count and hemoglobin level, indicating a more severe form such as HELLP syndrome.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
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.
Correct Answer is D
Explanation
Choice A rationale
Performing another vaginal exam does not directly influence labor progress. Labor can progress naturally without repeated exams, which can introduce unnecessary risk.
Choice B rationale
While vaginal exams can be uncomfortable, pain is not the primary reason to avoid multiple exams, especially when managing potential complications.
Choice C rationale
Vaginal exams might lead to minor bleeding due to irritation, but the risk of bleeding is not a primary concern in this context.
Choice D rationale
The most significant reason to avoid frequent vaginal exams after PPROM is the increased risk of infection. Each exam provides a potential pathway for bacteria to ascend, leading to complications like chorioamnionitis.
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