Following an amniocentesis, a client verbalizes several concerns. Which reported finding indicates to the nurse that the client is experiencing a complication from the amniocentesis?
Low back pain with pelvic cramping.
Headache and blurred vision.
Increased fetal movement.
Epigastric pain.
The Correct Answer is A
Choice A rationale
Low back pain and pelvic cramping after amniocentesis can indicate complications such as premature labor or infection, which requires immediate medical attention.
Choice B rationale
Headache and blurred vision are less indicative of complications from amniocentesis; these symptoms are more commonly associated with conditions like preeclampsia.
Choice C rationale
Increased fetal movement is not typically a complication of amniocentesis and does not directly relate to immediate maternal or fetal health concerns.
Choice D rationale
Epigastric pain is not a specific complication of amniocentesis; it is more commonly associated with gastrointestinal issues or, in severe cases, preeclampsia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Glucose water may be soothing due to the sweet taste, but it does not address the immediate need to protect the circumcision site from infection and aid in healing.
Choice B rationale
Liquid acetaminophen provides pain relief, but it does not address the immediate need to protect the circumcision site. Pain management alone is not sufficient for postoperative care.
Choice C rationale
Applying petrolatum gauze dressings on the site prevents the wound from sticking to the diaper, reduces irritation, and protects against infection, promoting healing. This is a priority intervention post-circumcision.
Choice D rationale
While keeping the infant warm is important for comfort and stability, it does not directly address the need to care for the circumcision site to prevent complications and promote healing.
Correct Answer is C
Explanation
Choice A rationale
Confirming Rh and Coombs status is essential for Rho(D) immunoglobulin administration, but it is not the immediate priority during acute bleeding as it does not directly address maternal or fetal distress.
Choice B rationale
Performing a sterile vaginal examination could potentially worsen bleeding if placental abruption or previa is present, making it a less safe option. The immediate concern is to assess fetal and maternal well-being.
Choice C rationale
Assessing the fetal heart rate and contraction pattern provides critical information on the fetus's condition and helps determine whether there is fetal distress, which is vital in deciding the urgency of interventions.
Choice D rationale
Determining fetal position using Leopold maneuvers is not a priority during acute bleeding episodes since it does not provide immediate information on fetal well-being or the cause of the bleeding.
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