A nurse is caring for a client who is pregnant.
For each of the client's assessment finding. click to specify if the finding is consistent with preeclampsia with severe features or HELLP syndrome. Each finding may support more than 1 disease process or none at all. There must be at least 1 selection in every column. There does not need to be a selection in every row.
Hemoglobin
Alanine aminotransferase (ALT)
Platelet count
Blood Pressure
The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A,B"},"C":{"answers":"A,B"},"D":{"answers":"A,B"}}
Hemoglobin 18.0 g/dL
Preeclampsia: Mild hemoconcentration can occur due to third spacing and fluid shift.
HELLP Syndrome: HELLP is more characterized by low hemoglobin due to hemolysis rather than high hemoglobin.
Alanine aminotransferase (ALT) 40 units/L
Preeclampsia: Liver enzymes can be mildly elevated in severe preeclampsia, but not as prominent as in HELLP.
HELLP Syndrome: Consistent finding. Elevated ALT reflects liver dysfunction, one of the hallmark components of HELLP (Hemolysis, Elevated Liver enzymes, Low Platelets).
Platelet count 98,000/mm³
Preeclampsia: Thrombocytopenia can occur in severe preeclampsia. Platelets <100,000/mm³ is concerning for progression to severe disease.
HELLP Syndrome: Consistent finding. Low platelets are a key diagnostic criterion of HELLP syndrome.
Blood Pressure 162/112 mm Hg
Preeclampsia: Consistent finding. Hypertension (≥140/90 mm Hg) is the primary diagnostic criterion for preeclampsia.
HELLP Syndrome: Often present with elevated blood pressure as well. HELLP is a variant of severe preeclampsia so elevated BP is common.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. The transdermal patch should not be placed on the upper arm; it is applied to clean, dry areas such as the upper torso (excluding breasts), abdomen, buttocks, or upper outer arm only if not breastfeeding, since estrogen-containing methods can reduce milk supply.
B. The diaphragm must be refitted after childbirth due to changes in the size and shape of the cervix and vaginal canal. Using the same diaphragm used before pregnancy may result in poor fit and decreased contraceptive effectiveness.
C. Vaginal spermicides should be avoided during breastfeeding because they can irritate the vaginal mucosa, which is often dry and sensitive due to low estrogen levels, increasing the risk for infection.
D. The lactation amenorrhea method (LAM) is only effective for up to 6 months postpartum, provided the client is exclusively breastfeeding and has not resumed menstruation. It is unreliable after that period.
Correct Answer is A
Explanation
A. Advise the parent to avoid giving cow’s milk to the infant prior to 1 year of age: Cow’s milk should not be introduced before 12 months due to the risk of iron-deficiency anemia, gastrointestinal irritation, and inadequate nutrient composition.
B. Instruct the parent to give the infant water every 3 hr between feedings: Water is not routinely needed in infants under 6 months; breast milk or formula provides adequate hydration.
C. Recommend the parent mix the milk with rice cereal for feedings: Mixing cereal with cow’s milk does not make it appropriate for infants and increases the risk of nutrient imbalance.
D. Instruct the parent to give 5 mcg of vitamin D daily: Vitamin D supplementation is appropriate for breastfed infants, but this does not address the concern about cow’s milk.
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.