The labor of a pregnant teenager with preeclampsia is going to be induced. Before initiating the Oxytocin infusion, the nurse reviews the woman's latest laboratory test findings, which reveal a platelet count of 80,000, an elevated aspartate transaminase (AST) level (250 U/L), and falling hemoglobin from 14 to 11 g/dl. The nurse notifies the physician because the laboratory results are indicative of
Select one:

Idiopathic thrombocytopenia.

Disseminated intravascular coagulation (DIC).

HELLP syndrome.

Eclampsia.

Answer and Explanation

The Correct Answer is C

a.   Idiopathic thrombocytopenia is a condition characterized by a low platelet count without an identifiable cause, which is not the case in this scenario.
b.   Disseminated intravascular coagulation (DIC) is a condition characterized by widespread activation of the clotting system, which is not the case in this scenario.
c.   HELLP syndrome is a serious complication of preeclampsia characterized by hemolysis, elevated liver enzymes, and low platelet count.
d.   Eclampsia is a severe complication of preeclampsia characterized by seizures, which is not the case in this scenario.

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Correct Answer is D

Explanation

a. Human papillomavirus (HPV) is a viral STI, not bacterial.

b. Herpes simplex is a viral STI, not bacterial.

c. Condyloma lata is a manifestation of secondary syphilis, which is caused by Treponema pallidum, a bacterium, but it is not the most common bacterial STI.
d. Chlamydia is the most common bacterial STI.

A. Variable decelerations are due to umbilical cord compression B. Variable decelerations are related to fetal head compression. C. Variable decelerations are caused by uteroplacental insufficiency. D. Variable decelerations are a result of the administration of IV narcotic analgesics. E. Variable decelerations are a result of the administration of IV narcotic analgesics.

Correct Answer is A

Explanation

a. Variable decelerations occur due to umbilical cord compression, typically when the cord is compressed during contractions or when the cord is wrapped around the fetal neck or body.
b. Early decelerations are typically related to fetal head compression and are not associated with variable decelerations.
c. Late decelerations are caused by uteroplacental insufficiency and are not associated with variable decelerations.
d. IV narcotic analgesics can cause late decelerations, not variable decelerations.

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Naxlex Comprehensive Predictor Exams

When evaluating a patient for sexually transmitted infections (STIs), the nurse should be aware that the most common bacterial STI is: Select one:

Correct Answer is D

Explanation

A nurse is caring for a client who is in the first stage of labor, undergoing external fetal monitoring, and receiving IV fluid. The nurse observes variable decelerations in the fetal heart rate on the monitor strip. Which of the following is a correct interpretation of this finding?

Correct Answer is A

Explanation

A nurse is caring for a client who is scheduled for a maternal serum alpha-fetoprotein test at 15 weeks of gestation. The nurse provides which of the following explanations about this test to the client?

A woman reports that her last normal menstrual period began on March 13, 2022. What is this woman's expected delivery date using Nagele's rule? Select one:

A nurse is caring for a client who is in labor. Which of the following nursing actions reflects the application of the Gate control theory of pain?

A nurse is caring for an adolescent client who is gravida 1 and para 0. The client was admitted to the hospital at 38 weeks of gestation with a diagnosis of preeclampsia. Which of the following findings should the nurse identify as inconsistent with preeclampsia?

The nurse is reviewing the laboratory results of a patient and notes that the patient has low levels of gonadotropin-releasing hormone (GnRH). Which physiologic process would be highly affected in the patient?

A 37 weeks pregnant female reports to the nurse that she is sleeping in a supine position and feels dizzy after waking up in the morning. What advice does the nurse give to the patient? Select one:

A pregnant woman's amniotic membranes rupture. Prolapsed umbilical cord is suspected. What intervention would be the top priority? Select one: