A nurse is collecting data from a client who is at 18 weeks of gestation and tells the nurse that she felt light flutering in her stomach the previous day. The nurse should use which of the following terms to document this finding?
Lightening
Chloasma
Ballotement
Quickening
The Correct Answer is D
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
No explanation
Correct Answer is C
Explanation
Choice A reason: Maternal battering or abdominal trauma is a significant cause of placental abruption, but it is not the most frequent. Trauma accounts for a smaller percentage of cases compared to chronic vascular conditions. While it requires immediate screening, it is categorized as an acute mechanical trigger rather than the primary underlying systemic risk factor.
Choice B reason: Cigarette smoking increases the risk of placental abruption due to vasoconstriction and placental hypoperfusion. While smoking is a modifiable risk factor associated with various adverse pregnancy outcomes, research cited by the NIH indicates it is less prevalent as a primary cause compared to the high incidence of hypertensive disorders in pregnancy.
Choice C reason: Maternal hypertension, whether chronic or pregnancy-induced (preeclampsia), is the most common risk factor for placental abruption. High blood pressure causes vascular changes and vasospasms that lead to reduced blood flow and potential separation of the placenta from the uterine wall. This is a leading cause in clinical textbooks.
Choice D reason: Maternal cocaine use is a known risk factor because it causes sudden, severe vasoconstriction and sharp increases in blood pressure. Although this can lead to catastrophic placental separation, the overall frequency of cocaine-induced abruption in the general population is lower than that caused by the widespread prevalence of hypertensive disorders.
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