In caring for an immediate postpartum client, you note petechiae and oozing from her IV site. What information, in her history would make you suspect Disseminated Intravascular Coagulation.
She experienced an abruptio placenta and pre eclampsia with her labor.
She had a 4100 gm baby.
This is her 5th child.
She had hyperemesis gravidarium her first trimester.
The Correct Answer is A
A. Abruptio placenta and preeclampsia are risk factors for DIC, a serious complication that can lead to bleeding and clotting issues, including petechiae and oozing from IV sites.
B. A 4100 gm baby (large baby) is not a risk factor for DIC in the immediate postpartum period.
C. Having five children does not increase the risk for DIC.
D. Hyperemesis gravidarum is not related to the development of DIC.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Keeping state records updated is a procedural part of newborn screening, but it is not the primary reason for the test.
B. ABO incompatibilities are a separate issue and are not the focus of newborn screening tests like PKU.
C. Hypoglycemia is not detected by the newborn screening tests, which focus on metabolic and genetic disorders, not immediate blood glucose levels.
D. The primary goal of newborn screening is to detect various genetic or metabolic disorders early. Early identification allows for timely treatment that can prevent serious health complications, including developmental delays or death.
Correct Answer is A
Explanation
A. G4T1P2A1L3 correctly documents her four pregnancies (G4), one term birth (T1), two preterm births (P2), one abortion (A1), and three living children (L3).
B. G4T2P0A1L3 incorrectly suggests two term births and no preterm births.
C. G3T1P2A1L3 incorrectly suggests only three pregnancies.
D. G4T1P1A1L3 incorrectly indicates only one preterm birth.
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