Signs and symptoms of preeclampsia with severe features include (Select all that apply):

Elevated liver function tests

Unremitting headache

Rising protein in sequential 24-hour urine

Increased urine output

Pain in the left upper quadrant

BP > 160/110

Answer and Explanation

Correct Answer : A,B,C,E,F

Choice A: Elevated liver function tests indicate liver damage, which is a complication of preeclampsia with severe features.

Choice B: Unremitting headache is a sign of increased intracranial pressure, which can result from cerebral edema or hemorrhage caused by preeclampsia with severe features.

Choice C: Rising protein in sequential 24-hour urine reflects the degree of glomerular damage and renal impairment caused by preeclampsia with severe features.

Choice D: Increased urine output is not a sign of preeclampsia with severe features. In fact, oliguria (decreased urine output) may occur due to reduced renal perfusion and acute kidney injury.

Choice E: Pain in the left upper quadrant is a sign of splenic rupture or subcapsular hematoma, which are rare but life-threatening complications of preeclampsia with severe features.

Choice F: BP > 160/110 is one of the diagnostic criteria for preeclampsia with severe features, as it indicates severe hypertension and increased risk of maternal and fetal complications.

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Correct Answer is C

Explanation

A. Call the lactation consultant to visit the patient B. Encourage and support the mother's desire/intention and include the partner in the conversation C. Give the mother a bottle of formula to supplement D. Help the mother shove her nipple in the baby's mouth. E. Check for audible swallowing and a comfortable (non-painful) suck F. Assist with proper positioning and latch techniques

Correct Answer is ["A","B","E","F"]

Explanation

A. Call the lactation consultant to visit the patient

Rationale: A lactation consultant is a specialized professional who can provide expert guidance on breastfeeding techniques and troubleshooting latching issues. They can offer personalized assistance and support to ensure proper latch and feeding.

B. Encourage and support the mother's desire/intention and include the partner in the conversation

Rationale: Providing emotional support and encouragement is crucial. Including the partner helps create a supportive environment for the mother and ensures that everyone is on the same page regarding breastfeeding goals and practices.

E. Check for audible swallowing and a comfortable (non-painful) suck

Rationale: Ensuring that the baby is swallowing and that the mother is not experiencing pain during feeding indicates that the latch may be correct. This helps confirm that the baby is feeding effectively and that the mother is comfortable.

Not Recommended:

C. Give the mother a bottle of formula to supplement

Rationale: Introducing formula supplementation is not necessary if the goal is exclusive breastfeeding. This step might undermine the mother's confidence or interfere with the baby's ability to latch properly.

D. Help the mother shove her nipple in the baby's mouth

Rationale: This approach can cause discomfort and may not address the underlying issue of improper latching. It is better to use techniques that encourage a natural and comfortable latch.

Note:

F. Assist with proper positioning and latch techniques"

Rationale:Proper positioning ensures the baby is comfortably aligned with their head in line with their body, and the baby is brought to the breast, not vice versa.

A good latch involves the baby opening their mouth wide to take in the nipple and a portion of the areola, which helps with milk transfer and reduces discomfort. Proper latch prevents pain and supports milk production.

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Signs and symptoms of preeclampsia with severe features include (Select all that apply):

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is 4 hr postpartum. The nurse finds a small amount of lochia rubra on the client's perineal pad. The fundus is midline and firm at one fingerbreadth above the umbilicus. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

Your patient who wants to exclusively breastfeed is afraid her baby isn't latching properly. To assist the mother you would (Select all that apply)

Correct Answer is ["A","B","E","F"]

Explanation

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