A nurse is reviewing the history of a client who is pregnant.
Which of the following clinical data indicates the client is at risk for preterm delivery?
Previous delivery at 37 weeks gestation
Previous delivery of a newborn weighing 2.5 kg (5.5 lb)
Previous reactive non-stress test
Previous cervical cerclage
The Correct Answer is D
Choice A rationale
A previous delivery at 37 weeks gestation does not necessarily indicate a risk for preterm delivery. Preterm delivery is defined as delivery before 37 weeks of gestation.
Choice B rationale
A previous delivery of a newborn weighing 2.5 kg (5.5 lb) does not indicate a risk for preterm delivery. Low birth weight can be a result of preterm delivery, but it can also be due to other factors such as intrauterine growth restriction.
Choice C rationale
A previous reactive non-stress test does not indicate a risk for preterm delivery. A reactive non-stress test is a positive sign of fetal well-being.
Choice D rationale
A previous cervical cerclage indicates a risk for preterm delivery. Cervical cerclage is a procedure performed to prevent preterm birth in women with a history of preterm birth and who have a short cervix.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Facial petechiae are small, pinpoint, red or purple spots on the skin that result from minor bleeding from broken capillary blood vessels. They can occur as a result of a nuchal cord, which is when the umbilical cord becomes wrapped around the fetus’s neck. This can cause pressure and minor injuries, leading to the appearance of petechiae.
Choice B rationale
Periauricular papillomas are not typically associated with a nuchal cord. They are small, benign skin growths that occur near the ear. They are not a common finding in newborns and are not related to the conditions of birth.
Choice C rationale
Erythema toxicum is a common rash seen in newborns, characterized by tiny bumps surrounded by an area of red skin. It is not specifically associated with a nuchal cord.
Choice D rationale
Telangiectatic nevi, also known as “stork bites,” are common birthmarks seen in newborns, characterized by patches of pink or red skin. They are not specifically associated with a nuchal cord.
Correct Answer is B
Explanation
Choice A rationale
The indirect Coombs test does not determine if a baby is at risk for developing hypoglycemia after birth. It is used to screen for Rh incompatibility.
Choice B rationale
The indirect Coombs test is used to detect the presence of Rh-positive antibodies in your blood. This is particularly important in pregnancy as it can indicate a risk of Rh incompatibility.
Choice C rationale
The indirect Coombs test does not determine the amount of amniotic fluid around the fetus.
Choice D rationale
The indirect Coombs test does not assess blood flow to the fetus and placenta using ultrasound.
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