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.
Eclampsia.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is A
Explanation
a. An abnormal odor of the amniotic fluid, such as a foul or fishy smell, may indicate infection and is a concern with ruptured membranes and an elevated temperature.
b. This may be necessary if the client has an infection or other complications, but it is not the first action to take.
c. This is not an appropriate action when the client has an elevated temperature and ruptured membranes.
d. Glucocorticoids may be administered to promote fetal lung maturity in preterm labor, but they are not appropriate in this situation.
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