A practical nurse is gathering data on how a client in labor is coping with labor.
Which of the following findings demonstrates the client is coping well?

Rhythmic respirations.

Crying.

Lack of concentration.

Perspiration.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Rhythmic respirations indicate the client is using controlled breathing techniques to manage labor pain, which demonstrates effective coping. This method helps maintain oxygen levels and can reduce the perception of pain through focused breathing.

Choice B rationale

Crying during labor may indicate emotional distress or pain, suggesting the client might be struggling to cope effectively with labor. While it is a natural response, it is not typically associated with controlled coping mechanisms.

Choice C rationale

Lack of concentration can indicate that the client is overwhelmed by pain or anxiety, which may hinder her ability to use coping strategies effectively. It suggests she might be struggling to manage her labor experience.

Choice D rationale

Perspiration is a common physiological response to the exertion and stress of labor, but it does not specifically indicate how well the client is coping with labor pain or stress. It is a normal part of the labor process but not a clear sign of effective coping.

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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.

A. G6PD deficiency. B. Von Willebrand disease. C. History of hyperemesis gravidarum. D. Peripheral artery disease.

Correct Answer is B

Explanation

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.

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A practical nurse is gathering data on how a client in labor is coping with labor. Which of the following findings demonstrates the client is coping well?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting in the care of a client who has preeclampsia with severe features and is reporting blurred vision and the inability to think clearly. Which of the following factors should the nurse recognize as the primary cause of the client's clinical manifestations?

Correct Answer is B

Explanation

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)?

Correct Answer is B

Explanation

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A practical nurse is gathering data on how a client in labor is coping with labor.
Which of the following findings demonstrates the client is coping well?