A woman pregnant with twins comes to the clinic for an evaluation. While assessing the client, the nurse would be especially alert for signs and symptoms for which potential problem?
oligohydramnios
preeclampsia
chorioamnionitis
post-term labor
The Correct Answer is B
A. Oligohydramnios:
Oligohydramnios refers to a condition where there is too little amniotic fluid surrounding the fetus in the womb. It can be concerning because amniotic fluid plays a crucial role in protecting and cushioning the fetus, aiding in lung development, and preventing compression of the umbilical cord. While oligohydramnios can be a complication in pregnancy, it's not necessarily more common or specific to twin pregnancies compared to singleton pregnancies.
B. Preeclampsia:
Preeclampsia is a serious pregnancy complication characterized by high blood pressure and signs of damage to other organ systems, such as the liver and kidneys. It usually develops after 20 weeks of pregnancy and can lead to serious complications for both the mother and the babies if not managed properly. Multiple pregnancies, including twins, are considered a risk factor for developing preeclampsia. Therefore, pregnant women carrying twins require close monitoring for signs and symptoms of preeclampsia.
C. Chorioamnionitis:
Chorioamnionitis is an infection of the fetal membranes (chorion and amnion) and amniotic fluid. It typically occurs due to bacterial infection ascending from the vagina into the uterus, often during prolonged labor or rupture of membranes. While chorioamnionitis is a concern in pregnancy, it's not necessarily more common in twin pregnancies compared to singleton pregnancies.
D. Post-term labor:
Post-term labor refers to labor that begins after 42 weeks of gestation. Prolonged pregnancy beyond the due date can increase the risks of complications for both the mother and the baby, including fetal distress, macrosomia (large birth weight), and meconium aspiration. Post-term labor can occur in both singleton and multiple pregnancies, but it's not specifically more associated with twin pregnancies.

Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. adjunct therapy to radiation and chemotherapy:
This option is not applicable to HIV/AIDS treatment. Antiretroviral therapy (ART) is specifically used to treat HIV infection by targeting the replication of the virus. It is not used as adjunct therapy to radiation or chemotherapy, which are treatments typically used for cancer.
B. treatment of opportunistic infections:
While antiretroviral therapy (ART) can help prevent opportunistic infections by boosting the immune system, its primary purpose is not the treatment of these infections. Rather, ART focuses on suppressing the replication of the HIV virus itself.
C. reduction in viral loads in the blood:
This is the correct rationale for antiretroviral therapy. The main goal of ART is to reduce the viral load in the blood to undetectable levels. By doing so, ART helps to slow the progression of HIV infection, improve immune function, and reduce the risk of transmitting the virus to others.
D. can cure acute HIV/AIDS infections:
This statement is incorrect. While antiretroviral therapy (ART) is highly effective in controlling HIV infection and preventing progression to AIDS, it does not cure acute HIV/AIDS infections. HIV remains a chronic condition that requires lifelong management with ART.
Correct Answer is B
Explanation
A. Battering: This phase involves the actual violent and abusive behavior, where the perpetrator inflicts harm or abuse upon the victim. It is characterized by physical, emotional, or psychological abuse.
B. Honeymoon: The honeymoon phase follows the period of violence or abuse. During this phase, the perpetrator may apologize, show remorse, and express love and affection toward the victim. The perpetrator may also promise to change their behavior and make efforts to reconcile with the victim.
C. Tension-building: The tension-building phase is characterized by increasing tension, anger, and hostility in the relationship. Minor conflicts and stressors escalate, leading to a buildup of tension between the partners. This phase often precedes the occurrence of the violent or abusive episode.
D. Reconciliation: The reconciliation phase occurs after the violent or abusive episode, during which the perpetrator attempts to reconcile with the victim. This phase may involve apologies, promises to change, and expressions of regret. However, it is important to note that the reconciliation phase may be temporary and may cycle back into the tension-building phase, leading to another episode of violence.
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