A nurse is caring for a client who is at 36 weeks of gestation.
For each day 2 finding, click to specify whether the finding indicates that the client's condition has improved, has not changed, or has declined.
Liver function tests
Edema
Fetal heart rate and variability
Headache
Epigastric discomfort
Urine dipstick
The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"C"},"D":{"answers":"A"},"E":{"answers":"A"},"F":{"answers":"B"}}
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Liver Function Tests: Improved
The significant decrease in AST, ALT, ALP, and bilirubin levels indicates improved liver function. -
Edema: Improved
The reduction from +3 to +2 edema in the lower extremities shows a decrease in swelling, indicating improvement. -
Fetal Heart Rate and Variability: Declined
The decrease in FHR with minimal variability and no accelerations suggests a decline in fetal status. -
Headache: Improved
The reduction in headache pain from a score of 8 to 2 indicates improvement. -
Epigastric Discomfort: Improved
The absence of epigastric pain on Day 2 suggests improvement. -
Urine Dipstick: Not Changed
The protein levels in the urine remained at 2+ on both days, indicating no change in kidney function.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","E"]
Explanation
A. Administering oral morphine is anticipated because it is used to manage withdrawal symptoms in newborns with Neonatal Abstinence Syndrome (NAS..
B. Swaddling is a non-pharmacological intervention that can provide comfort and reduce overstimulation.
C. Administering naloxone is not typically the first line of treatment for NAS and is used in cases of acute opioid overdose, which is not indicated by the information provided.
D. Encouraging the birthing parent to breastfeed may not be appropriate due to the presence of heroin in the system, which can be transmitted to the newborn through breast milk.
E. Continuing NAS scoring is essential to monitor the newborn's condition and response to treatment.
Correct Answer is C
Explanation
Rationale:
A. Panting may be indicated if pushing is premature, but the sudden urge to push suggests the need to assess for crowning.
B. While assisting the client into a comfortable position may be appropriate, it's essential to first assess for signs of imminent delivery.
C. This action is crucial to determine if the client is fully dilated and ready for delivery.
D. Helping the client to void may relieve pressure on the bladder but does not address the sudden urge to push, which may indicate imminent delivery.
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