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 ["A","B","E"]
Explanation
A. Monitoring oxygen saturation is important to assess respiratory status, as epiglottitis can cause airway obstruction.
B. Droplet precautions are required for Haemophilus influenzae type B to prevent transmission.
C. Inspecting the epiglottis is contraindicated as it can trigger airway spasm and worsen obstruction.
D. A throat culture is not appropriate in a child with suspected epiglottitis due to the risk of airway obstruction. The diagnosis is typically confirmed through other methods, such as imaging.
E. IV access should be established to provide fluids and medications, especially if the child requires emergency interventions.
Correct Answer is B
Explanation
A. Calcium gluconate is used for hypocalcemia, not for treating hypotension.
B. Ephedrine is a vasopressor used to treat hypotension, which can occur as a side effect of epidural anesthesia by helping to increase blood pressure.
C. Apresoline is an antihypertensive and would not be appropriate for treating hypotension.
D. Nifedipine is a calcium channel blocker used for hypertension, not for treating hypotension related to epidural anesthesia.
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