A nurse reviews the assessment findings and determines the findings are consistent with which of the following complications?
Placenta previa.
Abruptio placentae.
Uterine rupture.
Amniotic fluid embolism.
The Correct Answer is B
Choice A rationale
Placenta previa involves painless vaginal bleeding due to the placenta covering the cervical opening. It does not typically cause significant abdominal pain or the hemodynamic instability described in the scenario.
Choice B rationale
Abruptio placentae is the premature separation of the placenta from the uterine wall, causing severe abdominal pain, vaginal bleeding, and can lead to shock, consistent with the assessment findings.
Choice C rationale
Uterine rupture, often a complication in women with a previous cesarean section, involves the tearing of the uterine wall, causing sudden, severe abdominal pain and bleeding. However, it is less common than placental abruption.
Choice D rationale
Amniotic fluid embolism is a rare but life-threatening condition where amniotic fluid enters the mother's bloodstream, causing cardiovascular collapse and severe respiratory distress, which is less consistent with the described findings.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
HELLP syndrome includes elevated LDH levels, indicating hemolysis, not decreased levels.
Choice B rationale
HELLP syndrome involves hemolysis, reducing red blood cells, not increasing their production.
Choice C rationale
Elevated liver enzymes are a key feature of HELLP syndrome, reflecting liver damage.
Choice D rationale
HELLP syndrome is characterized by low platelets (thrombocytopenia), not increased platelets.
Correct Answer is B
Explanation
Choice A rationale
Calcium gluconate is the antidote for magnesium sulfate toxicity but is administered after stopping the infusion.
Choice B rationale
The first action is to stop the magnesium sulfate infusion to prevent further respiratory depression and absent reflexes.
Choice C rationale
Preparing for an urgent cesarean birth is not the immediate first action for treating magnesium sulfate toxicity.
Choice D rationale
Administering IV fluid bolus does not address the immediate issue of magnesium sulfate toxicity. .
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