The nurse is presenting a class at a local community health center on violence during pregnancy. Which possible complication would the nurse include?
postterm labor
chorioamnionitis
gestational hypertension
placenta previa
The Correct Answer is C
A. Postterm labor:
Postterm labor refers to labor that occurs after 42 weeks of gestation. While stress and trauma can contribute to preterm labor, there isn't a direct association between violence during pregnancy and postterm labor.
B. Chorioamnionitis:
Chorioamnionitis is an infection of the fetal membranes (chorion and amnion) and amniotic fluid. While violence during pregnancy doesn't directly cause chorioamnionitis, infections can occur if there are injuries sustained during violent episodes or if there's poor prenatal care due to the effects of violence.
C. Gestational hypertension:
Gestational hypertension, also known as pregnancy-induced hypertension, is characterized by high blood pressure that develops during pregnancy. Chronic stress and anxiety resulting from violence during pregnancy can contribute to elevated blood pressure levels, potentially leading to gestational hypertension.
D. Placenta previa:
Placenta previa occurs when the placenta partially or completely covers the cervix, increasing the risk of bleeding during pregnancy and delivery. While violence during pregnancy doesn't directly cause placenta previa, it can indirectly impact placental health and function due to stress-induced physiological changes.
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Related Questions
Correct Answer is B
Explanation
A. Hepatitis:
- Hepatitis viruses (such as hepatitis B and hepatitis C) primarily affect the liver and are not directly associated with an increased risk of cervical cancer. Hepatitis B virus (HBV) and hepatitis C virus (HCV) infections can lead to liver inflammation, cirrhosis, and liver cancer (hepatocellular carcinoma), but they do not specifically increase the risk of cervical cancer.
B. Human papillomavirus (HPV):
- Human papillomavirus (HPV) infection is strongly associated with an increased risk of cervical cancer. HPV is a sexually transmitted virus that can infect the cells of the cervix, leading to cellular changes that may progress to cervical dysplasia and cervical cancer over time. Persistent infection with high-risk strains of HPV, particularly HPV types 16 and 18, is a major risk factor for the development of cervical cancer.
C. Cytomegalovirus (CMV):
- Cytomegalovirus (CMV) is a common virus in the herpesvirus family. While CMV infection can cause complications in certain populations, such as congenital CMV infection in infants born to mothers with primary CMV infection during pregnancy, it is not known to be directly associated with an increased risk of cervical cancer.
D. Epstein-Barr virus (EBV):
- Epstein-Barr virus (EBV) is a herpesvirus that is best known for causing infectious mononucleosis (mono). EBV infection has been associated with certain types of cancers, such as Burkitt's lymphoma, Hodgkin's lymphoma, and nasopharyngeal carcinoma. However, EBV infection is not directly linked to an increased risk of cervical cancer.
Correct Answer is B
Explanation
A. Jaundice:
Jaundice refers to the yellowing of the skin and whites of the eyes due to elevated levels of bilirubin in the blood. While jaundice can be a sign of liver dysfunction or obstruction of the bile ducts, it is not typically associated with a ruptured ectopic pregnancy. Therefore, assessing for jaundice would not be the priority in this situation.
B. Hemorrhage:
Hemorrhage, or excessive bleeding, is the priority assessment in a suspected case of a ruptured ectopic pregnancy. A ruptured ectopic pregnancy can lead to significant internal bleeding, which can quickly become life-threatening. Signs and symptoms of hemorrhage may include hypotension, tachycardia, abdominal pain, dizziness, fainting, and signs of shock. Prompt recognition and management of hemorrhage are crucial to stabilize the client's condition and prevent further complications.
C. Edema:
Edema refers to the abnormal accumulation of fluid in the body tissues, resulting in swelling. While edema can occur in various conditions, such as heart failure or kidney disease, it is not typically associated with a ruptured ectopic pregnancy. Assessing for edema would not be the priority in this situation.
D. Infection:
Infection can occur as a complication of a ruptured ectopic pregnancy, particularly if there is contamination of the abdominal cavity by blood and tissue from the ruptured fallopian tube. However, the immediate concern in a suspected case of a ruptured ectopic pregnancy is hemorrhage, as it poses an immediate threat to the client's life. While infection is a concern, it is secondary to hemorrhage in terms of priority assessment and management.
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