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A nurse is caring for an adolescent client who is gravida 1 and para 0. The client was admitted to the hospital at 38 weeks of gestation with a diagnosis of preeclampsia. Which of the following findings should the nurse identify as inconsistent with preeclampsia?

Blood pressure 160/115

Anasarca

Proteinuria 3+

Deep tendon reflexes

Answer and Explanation

The Correct Answer is D

a. This is a sign of severe preeclampsia.

b. This is a sign of severe preeclampsia.

c. This is a sign of severe preeclampsia.

d. Deep tendon reflexes are not affected by preeclampsia, which is a hypertensive disorder of pregnancy characterized by high blood pressure, proteinuria, and edema.

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Correct Answer is B

Explanation

a. Bacterial vaginosis may present with a vaginal discharge that is often grayish-white with a fishy odor, but it does not typically cause inflammation of the vulva.
b. Trichomoniasis can cause inflammation of the vagina and vulva, along with a frothy, greenish-yellow discharge with a strong fishy odor.
c. Chlamydia may cause vaginal discharge but typically does not present with a strong fishy odor.
d. Candidiasis (yeast infection) may cause inflammation and itching of the vulva, but the discharge is typically white, thick, and cottage cheese-like, not greenish with a fishy odor.

A. Try sleeping on her side (lateral) position B. Try to spend less time sleeping C. Use two pillows in her head while sleeping D. Keep her legs elevated while sleeping

Correct Answer is A

Explanation

a. Sleeping on the left side (lateral) is recommended during pregnancy to improve circulation and prevent dizziness.
b. This is not a practical or safe solution to prevent dizziness.
c. This may not be effective in preventing dizziness, and it is not recommended to elevate the head during sleep in late pregnancy.
d. Elevating the legs may not be effective in preventing dizziness, and it is not recommended during sleep in late pregnancy.

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A nurse is caring for an adolescent client who is gravida 1 and para 0. The client was admitted to the hospital at 38 weeks of gestation with a diagnosis of preeclampsia. Which of the following findings should the nurse identify as inconsistent with preeclampsia?

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Naxlex Comprehensive Predictor Exams

A 23-year-old college student has come to see the Nurse Practitioner for treatment of a vaginal infection. Physical assessment reveals inflammation of the vagina and vulva. The vaginal discharge is a greenish and strong fishy odor. With which STI are these findings consistent? Select one:

Correct Answer is B

Explanation

A 37 weeks pregnant female reports to the nurse that she is sleeping in a supine position and feels dizzy after waking up in the morning. What advice does the nurse give to the patient? Select one:

Correct Answer is A

Explanation

A nurse is reviewing the health history of a client who has a new prescription for a combined oral contraceptive (COC). The nurse recognizes that which of the following client medications can interfere with the effectiveness of the COC?

The nurse providing care for the laboring woman recognizes that late fetal heart rate (FHR) decelerations are caused by: Select one:

The nurse tells a woman who is trying to conceive to check her cervical mucus for changes. What will she expect the characteristic of cervical mucus to be a few days before ovulation? Select one:

Through vaginal examination, the nurse determines that the woman is 8 cm dilated, and the external fetal monitor shows uterine contractions every 3 minutes and a duration of 50 seconds. The nurse would report these findings as:

A woman with preeclampsia has a seizure. The nurse's primary duty during the seizure is to: Select one:

A nurse is caring for a client who is a primigravida, at term, and having contractions but is stating that she is "not really sure if she is in labor or not." Which of the following should the nurse recognize as a sign of true labor?

Preconception counseling is critical to the outcome of diabetic pregnancies because poor glycemic control before and during early pregnancy increase the incidence of Select one: