The client is at risk for developing which of the following 2 complications?
Select 2 complications the client is at risk for developing.
Sepsis
Placenta previa
Disseminated intravascular coagulation
Preeclampsia
Preterm prelabor rupture of membranes (PROM)
Seizures
Correct Answer : A,E
A. Sepsis
Sepsis is a systemic infection that can occur during pregnancy, particularly if there is an infection such as chorioamnionitis (infection of the amniotic sac) or endometritis (infection of the uterine lining). The client's fever (38.4°C) could be indicative of infection, which is a risk factor for sepsis.
B. Placenta Previa
Placenta previa occurs when the placenta implants in the lower part of the uterus, covering the cervix. This can cause vaginal bleeding and may lead to complications during labor. However, this is not related to the client's current symptoms.
C. Disseminated Intravascular Coagulation (DIC)
DIC is a serious condition that can occur due to pregnancy complications like abruptio placentae, infection, or severe preeclampsia. However, the client’s symptoms do not indicate bleeding, bruising, or other signs of DIC. The client's blood pressure (130/78) is normal, and there are no indications of placental abruption.
D. Preeclampsia
Preeclampsia is characterized by hypertension and proteinuria. The client’s blood pressure (130/78) is normal, and there are no signs of significant swelling or other symptoms commonly associated with preeclampsia.
E. Preterm Premature Rupture of Membranes (PPROM)
PPROM is the rupture of the membranes (amniotic sac) before 37 weeks gestation, leading to the risk of infection, preterm labor, and other complications. While the client’s membranes are intact at this time, preterm labor at 33 weeks is a risk factor for PPROM.
F. Seizures
Seizures in pregnancy are most commonly seen in conditions like eclampsia, which is a complication of preeclampsia. However, the client does not have the signs of preeclampsia (high blood pressure, proteinuria, edema) that typically lead to eclampsia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Sitting in a chair next to the bed provides a comfortable and professional setting, allowing the nurse to engage with the client at eye level.
B. Sitting on the bed may be seen as too informal and might invade the client’s personal space.
C. Standing at the side of the bed can create a sense of distance and is less personal.
D. Standing at the foot of the bed may make the nurse seem detached and less approachable.
Correct Answer is A
Explanation
A. The health care surrogate (a person authorized to make decisions on behalf of the client) must be informed of the risks and benefits of the procedure and provide consent.
B. Sending the consent form to the risk manager does not address the immediate need for informed consent from the surrogate.
C. While the family may be involved in decision-making, it is the health care surrogate who must provide consent.
D. The nurse should ensure the procedure is medically necessary, but obtaining informed consent is the priority.
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