A nurse is reviewing the electronic health record (EHR) of a client at 36 weeks of gestation.
Which of the following findings should the nurse identify as placing the client at high risk for developing preeclampsia?
BMI of 28.
Age of 24.
Gestational hypertension.
Gravida 3 Para 2.
The Correct Answer is C
Choice A rationale
A BMI of 28 is considered overweight, which can be a risk factor for preeclampsia but is not as strong an indicator as gestational hypertension. BMI alone does not automatically place someone at high risk.
Choice B rationale
Age of 24 is within the typical childbearing age range and is not considered a high-risk factor for preeclampsia. Extremes of maternal age (below 18 or above 35) are more significant risk factors.
Choice C rationale
Gestational hypertension is a significant risk factor for developing preeclampsia. It indicates elevated blood pressure during pregnancy, which can lead to preeclampsia if not managed properly.
Choice D rationale
Gravida 3 Para 2 indicates a woman who has had two previous pregnancies carried to viable gestational age. While multiparity can influence pregnancy outcomes, it is not a direct high-risk factor for preeclampsia like gestational hypertension is. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
An occult cord prolapse occurs when the umbilical cord is hidden but not necessarily within the vagina. It is often compressed alongside the fetus, causing a risk for decreased oxygenation.
Choice B rationale
An occult prolapsed cord is not characterized by being wrapped around the fetal neck; that condition is known as a nuchal cord.
Choice C rationale
A compound prolapsed cord does not involve the cord being felt through the cervix inside an intact amniotic sac. Instead, it involves the cord alongside the fetal presenting part.
Choice D rationale
An overt prolapsed cord occurs when the umbilical cord comes through the cervix ahead of the presenting part, posing significant risk due to potential cord compression and interruption of blood flow to the fetus.
Correct Answer is B
Explanation
Choice A rationale
Feeding the newborn water during the procedure is incorrect because water does not provide effective pain relief during procedures.
Choice B rationale
Placing the newborn's arms and legs in flexion and close to the midline of the torso is correct as this position, known as facilitated tucking, provides comfort and can help reduce pain.
Choice C rationale
Placing the newborn supine during the procedure is incorrect because it does not provide any specific pain relief benefits.
Choice D rationale
Elevating the newborn's head during the procedure is not specifically related to pain relief but is more about positioning for ease of access. .
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