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 C

Explanation

a. GnRH does not directly affect blood pressure control.
b. GnRH does not directly affect intestinal motility.
c. GnRH is a hormone that stimulates the release of follicle-stimulating hormone (FSH) and luteinizing hormone (LH), which are involved in follicle growth and maturation in the ovaries.
d. GnRH does not directly affect insulin secretion.

A. 4-2-1-0-3 B. 4-1-1-1-3 C. 4-1-2-0-3 D. 4-3-0-0-3

Correct Answer is A

Explanation

a. In this case, the woman is pregnant for the fourth time, so her gravidity is 4.

She has one child born at 39 weeks, another child born at 40 weeks, and one child born at 36.2 weeks. The first two are considered term births, and the last one is considered a preterm birth. Therefore, her term is 1 and her preterm is 2. She has no abortions, so her abortion is 0. She has three living children, so her living children is 3. Hence, her GTPAL is 4-2-1-0-3.
b. This indicates 1 full-term pregnancy, 1 preterm pregnancy, and 3 living child.

c. This would indicate 1 full-term pregnancy, 2 preterm pregnancies, and 3 living children.
d. 4-3-0-0-3: This would indicate 3 full-term pregnancies and 3 living children.

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Naxlex Comprehensive Predictor Exams

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?

Correct Answer is C

Explanation

Correct Answer is A

Explanation

When assessing the fetus using Leopold maneuvers, the nurse feels a round, firm, movable fetal part in the pelvis inlet and a long, smooth, and soft surface in the mother's left side close to the midline. What is the likely position of the fetus? Select one:

A woman is at 9 weeks of gestation. The nurse would expect to palpate the fundus at which level? Select one:

The nurse is providing sexual education to a group of high school students. What will the nurse explain is the most effective choice of birth control for preventing pregnancy and sexually transmitted diseases? Select one:

A multiparous woman has been in labor for 8 hours. Her membranes have just ruptured spontaneously. The nurse's priority must be to: Select one:

A woman with preeclampsia has a seizure. The nurse's primary duty during the seizure is to: Select one:

The nurse tells a woman who is trying to conceive to check her cervical mucus for changes. What will she expect the characteristic of cervical mucus to be a few days before ovulation? Select one:

A nurse is caring for a client who has a suspected ectopic pregnancy at 8 weeks of gestation. Which of the following manifestations should the nurse expect to identify as consistent with the diagnosis?

Through vaginal examination, the nurse determines that the woman is 8 cm dilated, and the external fetal monitor shows uterine contractions every 3 minutes and a duration of 50 seconds. The nurse would report these findings as: