A pregnant client calls the ED stating that she is experiencing severe lower abdominal pain on her left side. She has not been seen for prenatal care, and only knows she had a positive pregnancy test two weeks ago. She states she has had a previous pregnancy last year without complications. The nurse answering the call tells her to come into the ED. When doing her intake history, the nurse will ask about
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specifically along with the usual prenatal history.

Answer and Explanation

The Correct Answer is {"dropdown-group-1":"B"}

Given the client's symptoms of severe lower abdominal pain on the left side, the nurse should be concerned about a potential ectopic pregnancy, where the fertilized egg implants outside the uterus, commonly in the fallopian tube. This is a medical emergency, as it can lead to life-threatening complications if the tube ruptures.

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Correct Answer is C

Explanation

A. Lethargy and poor muscle tone are common in infants of diabetic mothers due to the risk of hypoglycemia.

B. Early feeding is crucial to help regulate blood glucose levels and prevent hypoglycemia.

C. While newborns of diabetic mothers may be at risk for jaundice, assessing bilirubin levels at birth is not typically prioritized in the immediate care plan unless clinical signs of jaundice are present.

D. Fractures, especially clavicle fractures, are common in infants of large gestational age (LGA), so assessing for birth injuries is a priority.

A. Turn the patient to her side. B. Provide 2-3 liters of oxygen via mask C. Notify the health care provider. D. Stop the oxytocin

Correct Answer is ["A","B","C","D"]

Explanation

A. Turning the patient to her side can improve placental blood flow and alleviate pressure on the umbilical cord, which is often the cause of late decelerations.

B. Providing oxygen can help improve oxygenation to the fetus, especially if the decelerations are due to uteroplacental insufficiency.

C. Notifying the healthcare provider is essential to address the situation promptly and determine whether further interventions or a change in labor management is necessary.

D. Stopping oxytocin can reduce uterine contractions and prevent further stress on the fetus, especially if the late decelerations are linked to uterine hyperstimulation.

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Naxlex Comprehensive Predictor Exams

You are caring for an infant of a diabetic mother. Which of the following actions would not be included in your plan of care related to this diagnosis

Correct Answer is C

Explanation

When caring for a laboring mother, late decelerations are noted on the fetal heart rate monitor. What actions should the nurse take? (Select all that apply

Correct Answer is ["A","B","C","D"]

Explanation

A patient has a BMI 16 and weighs 96lbs and asks what the appropriate amount of weight she should gain with har pregnancy. Which of the following would be the best answer

The nurse is caring for a woman hospitalized for hyperemesis gravidarum. Which would be the most appropriate intervention for this patient?

Temp 98.6 (O) Sp02 98% on RA FHR 155 with minimal variability Exhibits Which of the following will you recommend for this patient? (Select all that apply)

Amniotic fluid is important for maintaining fetal wellbeing. The nurse knows teaching needs to be reinforced when the nurse hears a woman making which statement to her husband?

The nurse working in the prenatal clinic has a patient who states her last menstrual period was April 15th. Using Nagelle's rule, what is her due date?

You do a vaginal examination and you detect a prolapsed cord. Your number one nursing priority would be to:

A newborn is diagnosed with jaundice at 48 hours when the nurse is doing the discharge teaching. The newborn is treated with a biliblanket and frequent feedings. What type of jaundice did the newborn probably have?

A G1 PO 39 week gestation patient presents in active labor. She is GBS positive at 36 weeks. What medication does the nurse anticipate giving?