A nurse is reviewing the medical record of a client who is in active labor.
Which of the following conditions increases the client's risk for postpartum hemorrhage (PPH)?
G6PD deficiency.
Von Willebrand disease.
History of hyperemesis gravidarum.
Peripheral artery disease.
The Correct Answer is B
Choice A rationale
G6PD deficiency is an inherited condition affecting red blood cells but does not increase the risk of postpartum hemorrhage.
Choice B rationale
Von Willebrand disease is a bleeding disorder that can lead to excessive bleeding, increasing the risk of postpartum hemorrhage due to impaired blood clotting.
Choice C rationale
History of hyperemesis gravidarum is associated with severe nausea and vomiting in pregnancy but does not increase the risk of postpartum hemorrhage.
Choice D rationale
Peripheral artery disease affects blood flow to the limbs and does not directly increase the risk of postpartum hemorrhage.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Advising a pregnant friend to get the varicella vaccine postpartum is correct as it is a live vaccine not recommended during pregnancy due to potential risks to the fetus.
Choice B rationale
If a person had chickenpox, they likely have immunity, but it's still beneficial to assess for varicella zoster immunity to determine if vaccination is necessary.
Choice C rationale
Varicella vaccine requires two doses, and misunderstanding this indicates a need for further teaching to ensure complete immunization and protection.
Choice D rationale
Planning to get the second dose at the pharmacy 12 weeks postpartum is correct, showing understanding of the vaccination schedule and follow-up care.
Correct Answer is B
Explanation
Choice A rationale
Platelet aggregation is associated with the formation of blood clots, which may contribute to complications like stroke but is not the primary cause of the client's symptoms of blurred vision and cognitive impairment in preeclampsia.
Choice B rationale
Autoregulation dysfunction of the cerebral vasculature causes increased cerebral blood flow and edema, leading to neurological symptoms such as blurred vision and impaired cognitive function. This dysfunction is a primary factor in the pathophysiology of preeclampsia with severe features.
Choice C rationale
Oxidative stress and inflammatory response contribute to endothelial dysfunction in preeclampsia but are not directly responsible for the neurological symptoms described. These factors play a broader role in the progression of the disease.
Choice D rationale
Uteroplacental ischemia affects the placenta and fetal environment, contributing to fetal growth restriction and distress but does not directly cause neurological symptoms like blurred vision in the mother.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.