A nurse is educating a client who has just tested positive for pregnancy.
The nurse is discussing common discomforts during the first trimester and warning signs of potential complications.
Which of the following symptoms should the nurse advise the client to report to the clinic?
Facial edema
Leukorrhea
Nausea and vomiting
Urinary frequency
The Correct Answer is A
Choice A rationale
Facial edema, or swelling in the face, can be a sign of a serious complication during pregnancy, such as preeclampsia. Preeclampsia is a condition characterized by high blood pressure and signs of damage to another organ system, often the liver and kidneys.
Choice B rationale
Leukorrhea, or a thick, milky discharge from the vagina, is a common and normal symptom of pregnancy. It is not typically a sign of a complication.
Choice C rationale
Nausea and vomiting are common symptoms during the first trimester of pregnancy. However, severe or persistent nausea and vomiting can indicate a condition called hyperemesis gravidarum, which requires medical attention.
Choice D rationale
Urinary frequency is a common symptom during pregnancy and is not typically a sign of a complication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
A sweat test is used to diagnose cystic fibrosis, a genetic disorder that affects the lungs and digestive system. It is not used to diagnose pernicious anemia.
Choice B rationale
Haptoglobin is a protein produced by the liver that binds to hemoglobin in the blood to prevent it from being excreted through the kidneys. While it can be used to diagnose conditions that cause the destruction of red blood cells, it is not used to diagnose pernicious anemia.
Choice C rationale
The Schilling test is used to determine whether the body absorbs vitamin B12 normally, which is crucial for the diagnosis of pernicious anemia. Pernicious anemia is a condition where the body is unable to absorb vitamin B12 due to a lack of intrinsic factor, a protein made in the stomach.
Choice D rationale
Antinuclear antibodies (ANAs) are a type of autoantibody that can attack the body’s own tissues. While they can be present in various autoimmune diseases, they are not used to diagnose pernicious anemia.
Correct Answer is B
Explanation
Choice A rationale
While respiratory distress can be a serious condition in infants, it is not the leading cause of death among this age group. Other conditions, such as sudden infant death syndrome and complications from premature birth, are more common causes of death in infants.
Choice B rationale
Sudden Infant Death Syndrome (SIDS) is indeed a leading cause of death among infants. It is a significant health concern and a major cause of post-neonatal death. SIDS is the unexplained death, usually during sleep, of a seemingly healthy baby less than a year old.
Choice C rationale
Congenital anomalies can cause death in infants, but they are not the leading cause. Conditions such as SIDS and complications from premature birth are more common causes of infant death.
Choice D rationale
Low birth weight can contribute to health problems in infants and increase the risk of infant mortality. However, it is not the leading cause of death among infants. Conditions such as SIDS and complications from premature birth are more common causes.
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