A postpartum client on magnesium sulfate for preeclampsia suddenly developed severe headaches, floating spots in the field of vision, and right upper quadrant abdominal pain.
Vital signs are BP= 164/100, HR= 96, RR= 16. Laboratory results show liver enzymes are AST = 890, ALT= 980, and platelets = 25,000.This client most likely developed which condition?

HELLP Syndrome.

Postpartum hypertension.

Hypertension in pregnancy.

Superimposed preeclampsia.

Answer and Explanation

The Correct Answer is A

Choice A rationale
The client’s symptoms and lab results are consistent with HELLP Syndrome, a severe form of preeclampsia. HELLP stands for Hemolysis, Elevated Liver enzymes, and Low Platelet count. The client’s elevated liver enzymes and low platelets, along with the reported symptoms, are indicative of this condition.
Choice B rationale
While the client’s high blood pressure could suggest Postpartum hypertension, the presence of severe headaches, visual disturbances, right upper quadrant pain, and abnormal lab results point more towards HELLP Syndrome.
Choice C rationale
Hypertension in pregnancy could be a possibility, but it does not explain all of the client’s symptoms and lab results, particularly the elevated liver enzymes and low platelets.
Choice D rationale

Superimposed preeclampsia is a condition where a pregnant woman with chronic hypertension develops preeclampsia. However, the client’s severe symptoms and lab results are more indicative of HELLP Syndrome.

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Naxlex Comprehensive Predictor Exams

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Free Nursing Study Resources

Correct Answer is ["B","C","E"]

Explanation

Choice A rationale
Allowing the newborn to continue crying is not recommended. Persistent crying can be a sign of discomfort or distress in the newborn, and it is important to identify and address the cause.
Choice B rationale
Swaddling the newborn in a receiving blanket can provide a sense of security and comfort, which can help soothe a crying newborn.
Choice C rationale
Carrying the newborn in a front or back pack can provide close physical contact and movement, both of which can be soothing to a crying newborn.
Choice D rationale

Keeping the newborn in the center of a large crib does not directly address the issue of persistent crying.
Choice E rationale
Taking the newborn for a ride in the car can provide soothing movement and noise, which can help calm a crying newborn.

A. Massage the client’s fundus. B. Assess the bladder for distention. C. Assess the client’s blood pressure. D. Prepare to administer a prescribed oxytocic preparation.

Correct Answer is A

Explanation

The nurse should first assess the fundus of the uterus. If the uterus is not firm (boggy), it may not be contracting well enough to compress the blood vessels and stop the bleeding. The nurse should massage the fundus until it is firm.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a pediatric clinic is caring for a client who is postpartum and asks the nurse what to do if her newborn is persistently crying. Which of the following strategies should the nurse suggest? (Select all that apply.)

Correct Answer is ["B","C","E"]

Explanation

A nurse is caring for a client who is 4 hours postpartum following a vaginal birth. The client has saturated a perineal pad within 10 minutes.What should be the nurse’s first action?

Correct Answer is A

Explanation

Which of the following findings should alert a nurse assessing a client who is 8 hr postpartum and multiparous?

A nurse is preparing to administer 250 mg of an antibiotic intramuscularly to a pregnant client for a sexually transmitted infection. The available medication is 3 g/5 mL. How many mL should the nurse administer per dose? (This is a medical math querry no options provided) .

A nurse is caring for a client who gave birth 2 hours ago. The nurse notes that the client’s blood pressure is 60 mm Hg. Which of the following actions should the nurse take first?

A nurse is caring for a client who is in active labor with 7 cm of cervical dilation and 100% effacement. The fetus is at 1+ station, and the client’s amniotic membranes are intact. The client suddenly states that she needs to push. Which of the following actions should the nurse take?

A nurse is providing nutritional guidance to a parent of a newborn. Which statement by the parent indicates an understanding of the teaching?

A nurse is teaching a client who is postpartum and has a new prescription for Rh(D) immunoglobulin. Which of the following should be included in the teaching?

The nurse is conducting a newborn assessment and identifies a collection of blood beneath the newborn’s scalp that does not cross the suture lines. How should the nurse document this finding?

A nurse in a prenatal clinic is caring for a client whose blood pressure is 80/40 mm Hg. The client’s last menstrual period was on May 4, 2023. What would be the estimated due date for the client?