A nurse is caring for a client who was admitted to the maternity unit at 38 weeks of gestation and who is experiencing polyhydramnios. The nurse should understand that this diagnosis means which of the following?

The client is carrying more than one fetus.

The fetus is likely to have a congenital anomaly, be growth restricted, or demonstrate fetal distress during labor.

An excessive amount of amniotic fluid is present.

There is an elevated level of alpha-fetoprotein (AFP) in the amniotic fluid.

Answer and Explanation

The Correct Answer is C

Choice A reason: This statement is incorrect, as it is not the definition of polyhydramnios, but rather a possible cause of it. Polyhydramnios is a condition where the amniotic fluid volume exceeds 2,000 mL at term, or the amniotic fluid index (AFI) is greater than 25 cm. Polyhydramnios can occur in multiple pregnancies, as the fetuses produce more urine and fluid than a single fetus.

Choice B reason: This statement is incorrect, as it is not the definition of polyhydramnios, but rather a possible complication of it. Polyhydramnios can cause fetal anomalies, such as esophageal atresia, anencephaly, or neural tube defects, which impair the swallowing or absorption of the amniotic fluid. Polyhydramnios can also cause fetal growth restriction or distress, as the excess fluid can compress the umbilical cord or the placenta, and reduce the blood flow and oxygen delivery to the fetus.

Choice C reason: This statement is correct, as it is the definition of polyhydramnios, which is a condition where the amniotic fluid volume exceeds 2,000 mL at term, or the amniotic fluid index (AFI) is greater than 25 cm. Polyhydramnios can be diagnosed by ultrasound, and it can cause maternal and fetal complications, such as preterm labor, premature rupture of membranes, placental abruption, or cord prolapse.

Choice D reason: This statement is incorrect, as it is not the definition of polyhydramnios, but rather a marker of fetal anomalies. Alpha-fetoprotein (AFP) is a protein that is produced by the fetus, and it can be measured in the maternal serum or the amniotic fluid. An elevated level of AFP in the amniotic fluid can indicate fetal anomalies, such as neural tube defects, abdominal wall defects, or renal anomalies, which can cause polyhydramnios.

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Correct Answer is A

Explanation

Choice A reason: This statement is correct, as the ultrasound can help diagnose placenta previa, which is a condition where the placenta covers the cervical opening and can cause painless, bright red bleeding in the third trimester. Placenta previa is a serious complication that can affect the delivery and the fetal oxygenation.

Choice B reason: This statement is incorrect, as the biparietal diameter is a measurement of the fetal head that is used to estimate the gestational age and the fetal growth. The biparietal diameter is not related to the cause or the severity of the bleeding.

Choice C reason: This statement is incorrect, as the fetal lung maturity is an assessment of the surfactant level in the amniotic fluid that is used to predict the risk of respiratory distress syndrome in preterm infants. The fetal lung maturity is not related to the cause or the severity of the bleeding.

Choice D reason: This statement is incorrect, as the viability of the fetus is an evaluation of the fetal heart rate, movement, and tone that is used to determine the fetal well-being and distress. The viability of the fetus is not related to the cause or the severity of the bleeding, although it can be affected by it.

A. Use fingertips when calming the newborn. B. Position the premature infant on their abdomen. C. Keep the newborn in a well-lit nursery. D. Cluster the newborn's care activities.

Correct Answer is D

Explanation

Choice A reason: Using fingertips when calming the newborn is not recommended, as it can overstimulate the immature nervous system and cause stress. Instead, the nurse should use gentle, firm, and sustained touch, such as cupping the head and feet, or swaddling the newborn.

Choice B reason: Positioning the premature infant on their abdomen is contraindicated, as it can increase the risk of sudden infant death syndrome (SIDS). The nurse should position the newborn on their back or side, with a rolled blanket or towel to support the spine and prevent flattening of the head.

Choice C reason: Keeping the newborn in a well-lit nursery is not advisable, as it can interfere with the development of the circadian rhythm and sleep patterns. The nurse should provide a dark and quiet environment for the newborn, and expose them to natural light during the day.

Choice D reason: Clustering the newborn's care activities is beneficial, as it can reduce the number of disruptions and allow for longer periods of rest and growth. The nurse should plan and coordinate the care activities, such as feeding, bathing, changing, and assessing, to minimize the stress on the newborn.

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A nurse is caring for a client who was admitted to the maternity unit at 38 weeks of gestation and who is experiencing polyhydramnios. The nurse should understand that this diagnosis means which of the following?

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Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

A nurse is planning care for a preterm newborn. Which of the following nursing interventions to promote development should be included in the plan of care?

Correct Answer is D

Explanation

A nurse on the obstetric unit is caring for a client who experienced abruptio placentae. The nurse observes petechiae and bleeding around the IV access site. The nurse should recognize that this client is at risk for which of the following complications?

A nurse is planning care for a client who is at 10 weeks of gestation and reports abdominal pain and moderate vaginal bleeding. The tentative diagnosis is inevitable abortion. Which of the following nursing interventions should be included in the plan of care?

A client comes to the emergency room reporting severe abdominal cramping and heavy bleeding at 10 weeks gestation. Cervical examination reveals heavy bleeding, the cervical os is open and tissue is present. Which type of abortion is the client experiencing?

A nurse is assessing a newborn who has developmental dysplasia of the hip (DDH). Which of the following findings should the nurse expect?

When assisting the mother, father, and other family members to actualize the loss of an infant, which action is most helpful?

A nurse is admitting a client who has a diagnosis of preterm labor. The nurse anticipates an order by the provider for which of the following medications?

A nurse is caring for a group of clients on an intrapartum unit. Which of the following findings should be reported to the provider immediately?