The nurse reports the current assessment findings to the healthcare provider (HCP). Based on the assessment findings, the priority diagnosis suspected is preeclampsia. This diagnosis places the client at risk of which complications?

Seizures.

Stroke.

Organ damage.

Preterm birth.

Answer and Explanation

Correct Answer : A,B,C,D

Choice A rationale

Seizures can occur due to severe preeclampsia, leading to eclampsia, characterized by generalized tonic-clonic seizures. Magnesium sulfate is often used to prevent seizures in these patients, alongside other monitoring measures.

Choice B rationale

Stroke risk is elevated in preeclamptic patients due to hypertension, endothelial dysfunction, and increased coagulation. Blood pressure control is essential to reduce stroke risk and manage preeclampsia complications effectively.

Choice C rationale

Organ damage, particularly to the liver and kidneys, is a complication of preeclampsia. Elevated liver enzymes and proteinuria indicate hepatic and renal involvement, necessitating close monitoring and potential intervention to mitigate damage.

Choice D rationale

Preterm birth is often a result of preeclampsia due to placental insufficiency and maternal health deterioration. Early delivery may be necessary to protect the well-being of both mother and fetus, highlighting the importance of timely diagnosis.

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Correct Answer is ["A","B","D","E"]

Explanation

Choice A rationale

Acidemia in the fetus can result from abnormal fetal heart rate (FHR) patterns. It is indicative of hypoxia and inadequate oxygenation, leading to anaerobic metabolism and accumulation of lactic acid in fetal tissues.

Choice B rationale

Hypoxia can occur due to abnormal FHR patterns. Hypoxia results from insufficient oxygen supply to the fetus, which can lead to metabolic acidosis, impaired organ function, and potential long-term developmental issues.

Choice C rationale

Hypoglycemia is not directly related to abnormal FHR patterns. It is primarily associated with metabolic disturbances such as inadequate glucose supply or insulin regulation in the neonate or fetus.

Choice D rationale

Meconium stool passage can result from fetal hypoxia due to abnormal FHR patterns. Hypoxia increases gastrointestinal peristalsis, leading to the release of meconium into the amniotic fluid, which poses a risk for aspiration.

Choice E rationale

Maternal hypotension can lead to abnormal FHR patterns. Hypotension reduces uteroplacental blood flow, leading to fetal hypoxia and compromised oxygen delivery to the fetus, which can result in fetal distress.

A. Visualization of implantation by vaginal ultrasound. B. Maternal blood serum tests positive for alpha-fetoprotein. C. Presence of amenorrhea for 2 months. D. Reports feeling tired all of the time.

Correct Answer is A

Explanation

Choice A rationale

Visualization of implantation by vaginal ultrasound offers the highest accuracy in confirming pregnancy, as it directly visualizes the implanted embryo, eliminating errors associated with biochemical tests.

Choice B rationale

Maternal blood serum tests positive for alpha-fetoprotein do not confirm pregnancy. Alpha-fetoprotein is a marker used primarily for screening fetal abnormalities, not pregnancy determination.

Choice C rationale

The presence of amenorrhea for 2 months can suggest pregnancy but is not definitive due to other potential causes of missed periods, such as hormonal imbalances or stress, reducing its accuracy.

Choice D rationale

Reporting feeling tired all the time is a nonspecific symptom that can result from numerous conditions unrelated to pregnancy, making it an unreliable method for pregnancy determination.

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The nurse reports the current assessment findings to the healthcare provider (HCP). Based on the assessment findings, the priority diagnosis suspected is preeclampsia. This diagnosis places the client at risk of which complications?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Abnormal FHR patterns can result in which condition?

Correct Answer is ["A","B","D","E"]

Explanation

A woman who is trying to get pregnant tells the nurse that she was very disappointed several months ago when she was informed that her positive pregnancy test was a false positive. Which method of determining pregnancy provides the greatest degree of accuracy?

Correct Answer is A

Explanation

A newborn is delivered by cesarean section to a mother who is HIV-positive. The mother received antiretroviral therapy during pregnancy. Which intervention should the nurse implement?

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The nurse reports the current assessment findings to the healthcare provider (HCP). Based on the assessment findings, the priority diagnosis suspected is preeclampsia. This diagnosis places the client at risk of which complications?

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A nurse is conducting a preconception class for a group of parents who are anticipating having children. Which client(s) should the nurse refer for genetic counseling? (Select all that apply)

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A client who is positive for Neisseria gonorrhoeae vaginally delivered a newborn. Which medication should the nurse administer to the newborn?

A client who is positive for Neisseria gonorrhoeae vaginally delivered a newborn. Which medication should the nurse administer to the newborn?