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A nurse is providing care at a routine visit for a 28-year-old female client who is at 36 weeks of gestation in the clinic.

Exhibits

Which of the following findings should the nurse report to the provider? (Select all that apply.)

Cerebral manifestations

Fetal heart rate

Deep tendon reflexes

Gastrointestinal assessment findings

Respiratory rate

Blood pressure

Answer and Explanation

Correct Answer : A,D,F

Choice A rationale:

Cerebral manifestations, such as headaches and dizziness, can be indicative of severe preeclampsia, a condition that requires immediate attention to prevent complications for both the mother and the fetus.

Choice B rationale:

The fetal heart rate of 155 bpm is within the normal range for a fetus at 36 weeks of gestation (110-160 bpm). Therefore, this finding is not necessarily abnormal or concerning, and does not need immediate reporting to the provider.

Choice C rationale:

Deep tendon reflexes (DTRs) of 3+ are slightly brisk, but the absence of clonus makes this finding less concerning for severe preeclampsia or eclampsia, so it does not need immediate reporting.

Choice D rationale:

Gastrointestinal assessment findings, such as right upper quadrant pain and persistent "heartburn," are concerning for possible HELLP syndrome (Hemolysis, Elevated Liver enzymes, Low Platelets), a severe form of preeclampsia that requires immediate attention.

Choice E rationale:

The respiratory rate of 20/min is within normal limits for an adult (12-20 breaths per minute) and does not indicate an immediate concern that needs to be reported to the provider.

Choice F rationale:

The blood pressure of 156/90 mm Hg is elevated and indicative of hypertension, which is concerning for preeclampsia and requires immediate attention to prevent complications for the mother and fetus.

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Correct Answer is D

Explanation

Choice A rationale

Prescribing insulin is premature based on a single elevated glucose test without further diagnostic confirmation through a 3-hour Glucose Tolerance Test.

Choice B rationale

Increasing carbohydrate intake is not recommended for managing elevated glucose levels in gestational diabetes.

Choice C rationale

No changes are recommended only if the GTT results are within the expected range. Further testing is required due to the elevated result.

Choice D rationale

A 3-hour Glucose Tolerance Test is needed to confirm gestational diabetes following an elevated 1-hour test result to ensure accurate diagnosis and appropriate management.

A. Increase contraction frequency. B. Prevent maternal seizures. C. Improve fetal lung maturity. D. Provide neuroprotection for the fetus.

Correct Answer is D

Explanation

Choice A rationale

Increasing contraction frequency is not the goal when administering magnesium sulfate. This medication actually works to relax the uterine muscles, thus preventing premature labor contractions.

Choice B rationale

Magnesium sulfate is sometimes used to prevent seizures in clients with preeclampsia, but this is not its primary purpose in the case of preterm labor.

Choice C rationale

Betamethasone or dexamethasone are typically given to improve fetal lung maturity, not magnesium sulfate.

Choice D rationale

Magnesium sulfate provides neuroprotection for the fetus by preventing intraventricular hemorrhage and cerebral palsy in preterm infants.

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A nurse is providing care at a routine visit for a 28-year-old female client who is at 36 weeks of gestation in the clinic. Exhibits Which of the following findings should the nurse report to the provider? (Select all that apply.)

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Naxlex Comprehensive Predictor Exams

A client at 27 weeks gestation has completed the 1-hour Glucose Tolerance Test (GTT) with a result of 160 mg/dL (expected: less than 130-140 mg/dL). What education would the nurse provide following this test result?

Correct Answer is D

Explanation

A nurse is preparing to administer magnesium sulfate IV to a client who is 30 weeks gestation and experiencing preterm labor.The nurse explains to the client the primary purpose of this medication for her condition is to do which of the following?

Correct Answer is D

Explanation

A nurse is caring for a client who has preeclampsia and is being treated with magnesium sulfate.The client's respiratory rate is 10/min and deep-tendon reflexes are absent.Which of the following actions should the nurse take first?

A nurse is caring for a client at 37 weeks gestation with new reports of headache, edema of the face and right upper quadrant abdominal pain.Which of the following diagnostic tests would the nurse anticipate the provider ordering?

A nurse is caring for a client receiving Magnesium Sulfate therapy IV for preterm labor.Which of the following medications should the nurse anticipate administering if the client exhibits hypotension, decreased urine output, and a respiratory rate of 10/min?

A client at 34 weeks gestation arrives to OB triage and is concerned she may be in preterm labor.Which of the following are signs and symptoms of preterm labor? (Select all that apply.)

A nurse is caring for a client who is at 32 weeks of gestation.Hemoglobin level is 8 g/dL (normal: 12 to 16 g/dL). Platelet count is 100,000/mm³ (normal: 150,000 to 400,000/mm³). Which of the following complications is the nurse most likely dealing with?

You are attending a staff meeting when the discussion about preeclampsia complications arises.Which of the following statements by the nurse educator is correct regarding HELLP syndrome?

A nurse is caring for a client who is at 32 weeks of gestation.Continuous fetal monitoring and vital signs per protocol are required.Prepare for cesarean birth.A nurse reviews the assessment findings and determines the findings are consistent with which of the following complications?

A nurse is providing care at a routine visit for a 28-year-old female client who is at 36 weeks of gestation in the clinic. Exhibits Which of the following findings should the nurse report to the provider? (Select all that apply.)

A nurse is providing care at a routine visit for a 28-year-old female client who is at 36 weeks of gestation in the clinic.

Exhibits

Which of the following findings should the nurse report to the provider? (Select all that apply.)