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. External version is not recommended in cases of placenta previa as it can cause hemorrhage or placenta separation.

B. External version is typically not performed in placenta previa because of the risk of bleeding or placental separation.

C. A breech presentation combined with placenta previa is a contraindication for external version, as attempting the version could cause severe complications.

D. The presence of a breech presentation, in this case, is not the primary reason for the inability to perform an external version. The main concern is placenta previa.

A. Place the client in a knee chest position. B. Place 8L of 02 by mask, on the patient. C. With your hand, during the vaginal exam, keep the fetal head from compressing the cord. D. Obtain a consent for an immediate C-Section

Correct Answer is C

Explanation

A. While positioning the patient in a knee-chest position may help, the immediate priority is to relieve pressure on the cord.

B. Administering oxygen is important but does not address the primary issue of cord compression.

C. The number one priority in managing a prolapsed cord is to relieve pressure on the cord and prevent fetal hypoxia. The nurse should manually elevate the presenting part of the fetus to reduce cord compression.

D. Obtaining consent for a C-section is important but not the immediate priority in managing a prolapsed cord.

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Naxlex Comprehensive Predictor Exams

A client who is 36 weeks with a breech presentation and diagnosed with a placenta previa asks the nurse if she can have an external version and deliver vaginally. The best answer by the nurse would be which of the following?

Correct Answer is C

Explanation

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

Correct Answer is C

Explanation

LC's VE (6/80/-1) indicates which of the following (there are 3 correct choices)? Exhibits

The nurse is providing care for a woman with Type 1 Diabetes. Which of the following is true for the laboratory test for Glycosylated Hemoglobin A1C

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

Select the four criteria below that would indicate a category 3 fetal monitor strip.

A. A blood pressure of 94/60 is low but not typically a contraindication for Terbutaline administration.

A laboring woman asks for IV pain medication. Which of the following patients would be a candidate for IV pain medication in labor? (Select all that apply)

A nurse on an antepartum unit has been caring for a client who is G2 P1 at 34 weeks gestation who has been admitted for vaginal bleeding. Which action is contraindicated dropdownand what action should the nurse implement dropdown?

You are caring for a patient who is having an epidural placed for pain during labor. Which medication should be kept in the room for easy access in case the patient has hypotension?