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?

Increased fetal movement.

Headache and blurred vision.

Epigastric pain.

Low back pain with pelvic cramping.

Answer and Explanation

The Correct Answer is D

Choice D rationale

Low back pain with pelvic cramping can indicate complications such as premature labor or an infection after an amniocentesis.

Choice A rationale

Increased fetal movement is not typically a sign of complications following amniocentesis and may be a normal finding.

Choice B rationale

Headache and blurred vision are concerning symptoms but are not directly related to amniocentesis complications.

Choice C rationale

Epigastric pain can be a sign of other issues, such as preeclampsia, but not specifically related to amniocentesis complications. .

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

Explanation

Choice A rationale

Standard precautions should always be used to prevent the transmission of infections. This includes wearing gloves, gowns, and masks when necessary to protect both the healthcare provider and the patient.

Choice B rationale

Antiviral medication is critical for an HIV-positive mother in labor to reduce the risk of vertical transmission of the virus to the newborn. Intravenous administration ensures rapid delivery and effective drug levels.

Choice C rationale

Droplet precautions are not necessary for HIV as the virus is not transmitted via droplets. It is primarily transmitted through blood, sexual contact, and from mother to child during childbirth or breastfeeding.

Choice D rationale

Bottle-feeding is encouraged for HIV-positive mothers to prevent postnatal transmission of the virus through breast milk. Breastfeeding can increase the risk of the infant contracting HIV.

Choice E rationale

Negative pressure rooms are used for airborne diseases like tuberculosis, not for HIV. HIV is not airborne, so standard precautions suffice.

A. Assess the fetal heart rate and client's contraction pattern. B. Confirm Rh and Coombs status for Rho(D) immunoglobulin administration. C. Determine fetal position by performing Leopold maneuvers. D. Perform sterile vaginal examination to determine dilatation.

Correct Answer is A

Explanation

Choice A rationale

Assessing the fetal heart rate and client's contraction pattern is the highest priority when a large amount of bright red vaginal bleeding occurs. It is crucial to evaluate fetal well-being and the progression of labor to determine any immediate interventions needed to ensure the safety of both the mother and fetus.

Choice B rationale

Confirming Rh and Coombs status for Rho(D) immunoglobulin administration is important for Rh-negative mothers, but it is not the immediate priority in the presence of significant vaginal bleeding. Ensuring fetal and maternal stability takes precedence over Rh status confirmation.

Choice C rationale

Determining fetal position by performing Leopold maneuvers is not the highest priority when there is significant vaginal bleeding. While fetal position is relevant, immediate assessment of fetal heart rate and maternal contraction pattern is more critical for evaluating the urgency of the situation.

Choice D rationale

Performing a sterile vaginal examination to determine dilation is contraindicated in the presence of vaginal bleeding, as it can exacerbate the situation and lead to further complications. Immediate assessment of fetal well-being and maternal condition is more crucial before considering any internal examination. .

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client at 40 weeks gestation is admitted in active labor, and laboratory findings indicate that she is HIV positive.Which action(s) should the nurse plan to perform? Select all that apply.

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

Explanation

Correct Answer is A

Explanation

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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?