A nurse receives a shift report and must first assess the high-risk antenatal client who is:
35 weeks gestation with proteinuria and vomiting.
39 weeks gestation with urinary urgency, frequency, and burning.
30 weeks gestation with a fasting blood sugar of 95 mg/dL and a 3-hour glucose of 120.
34 weeks gestation with a hemoglobin of 12 mg/dL and a potassium level of 3.5 mEq/L. .
The Correct Answer is A
Choice A rationale
Proteinuria and vomiting at 35 weeks gestation are significant symptoms that could indicate preeclampsia, a serious condition that requires immediate assessment and management to prevent complications for both the mother and the baby.
Choice B rationale
Urinary urgency, frequency, and burning at 39 weeks gestation suggest a possible urinary tract infection (UTI), which is concerning but generally not as immediately critical as symptoms suggesting preeclampsia.
Choice C rationale
A fasting blood sugar of 95 mg/dL and a 3-hour glucose of 120 at 30 weeks gestation indicate good control of blood sugar levels, which is not as high-risk as preeclampsia symptoms.
Choice D rationale
A hemoglobin of 12 mg/dL and a potassium level of 3.5 mEq/L at 34 weeks gestation are within normal ranges and do not indicate an immediate high-risk condition compared to the potential for preeclampsia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
A post-term pregnancy at 42 weeks of gestation does not require tocolytic therapy. Tocolytics are used to stop preterm labor, not to manage full-term or post-term pregnancies.
Choice B rationale
A client who is dilated to 7 cm and experiencing contractions every 3-4 minutes is in active labor, and tocolytic therapy is not appropriate in this advanced stage of labor.
Choice C rationale
Braxton-Hicks contractions at 36 weeks of gestation are typically harmless and do not require tocolytic therapy. These contractions are usually irregular and do not lead to labor.
Choice D rationale
A client who is experiencing preterm labor at 32 weeks of gestation is an appropriate candidate for tocolytic therapy. The goal is to delay labor to allow for further fetal development and possibly administer corticosteroids to enhance fetal lung maturity.
Correct Answer is ["0.43"]
Explanation
Step 1 is to calculate the total dose required: 4300 g × (2 mg ÷ 1000 g) = 8.6 mg.
Step 2 is to calculate the volume to draw up: 8.6 mg ÷ (20 mg ÷ 1 mL) = 0.43 mL. Final answer: 0.43 mL. .
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.