The nursing staff in a labor and delivery unit has noticed an increase in the number of patients experiencing placental abruption.
The nurses begin to review demographics for the patients involved.
Which risk factors will the nurses expect? Select all that apply.

Hypertensive disorders.

Uterine fibroids.

Cigarette smoking.

Abdominal trauma.

Methamphetamine use.

Answer and Explanation

Correct Answer : A,B,C,D,E

Choice A rationale

Hypertensive disorders, such as preeclampsia, increase the risk of placental abruption. They can cause changes in the blood vessels of the placenta, reducing blood flow and increasing the likelihood of separation.

Choice B rationale

Uterine fibroids, which are noncancerous growths in the uterus, can interfere with the proper attachment of the placenta, raising the risk of placental abruption.

Choice C rationale

Cigarette smoking contributes to placental abruption by reducing oxygen supply to the placenta, causing placental insufficiency and increasing the risk of premature separation.

Choice D rationale

Abdominal trauma, such as from a fall or car accident, can cause mechanical disruption of the placenta, leading to abruption.

Choice E rationale

Methamphetamine use can cause vasoconstriction and hypertension, which compromise placental blood flow and increase the risk of abruption.

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Correct Answer is D

Explanation

Choice A rationale

Precipitous labor and birth are not directly associated with postpartum endometritis. The primary risk factors are related to infections during labor.

Choice B rationale

Postpartum endometritis is typically treated with a combination of antibiotics for 7-10 days, not a single dose of ampicillin or cephalosporin. A single dose would be insufficient for treating the infection.

Choice C rationale

Postpartum endometritis is more common following cesarean birth due to increased risk of infection despite the use of sterile techniques during surgery.

Choice D rationale

Postpartum endometritis is associated with internal monitoring, amnioinfusion, prolonged labor, and prolonged rupture of membranes. These factors increase the risk of infection, which can lead to endometritis.

A. Check each urine for presence of ketones. B. Pad the client's bed rails and headboard. C. Provide visual and auditory stimulation. D. Place the bed in the high Fowler's position.

Correct Answer is B

Explanation

Choice A rationale

Checking for ketones in urine is related to metabolic conditions like diabetic ketoacidosis, not directly relevant to the immediate care of an eclamptic client.

Choice B rationale

Padding the bed rails and headboard helps prevent injury during seizures, which is crucial in managing a client with eclampsia.

Choice C rationale

Providing visual and auditory stimulation can increase the risk of further seizures in an eclamptic client. Reducing stimulation is usually recommended.

Choice D rationale

Placing the bed in the high Fowler's position is not appropriate for managing a client post-seizure. The priority is ensuring airway patency and preventing injury.

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The nursing staff in a labor and delivery unit has noticed an increase in the number of patients experiencing placental abruption.The nurses begin to review demographics for the patients involved.Which risk factors will the nurses expect? Select all that apply.

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Naxlex Comprehensive Predictor Exams

Postpartum endometritis is:

Correct Answer is D

Explanation

The nurse observes a new staff member caring for an eclamptic client following a seizure.Which of the following actions by the staff member indicates an understanding of eclampsia?

Correct Answer is B

Explanation

Which of the following is the appropriate nursing care outcome for a client who suddenly develops anaphylactoid syndrome of pregnancy (ASP) during labor?

Included in the definition of tachysystole is:

The nurse is assisting the primary care provider (PCP) with the third stage of a vaginal delivery.The patient is multiparous, experienced a precipitous birth, and has a history of hypertension.Which medical prescription does the nurse anticipate for this patient?

In which of the following situations should a nurse report a possible deep vein thrombosis (DVT)?

A delirious client is admitted to the hospital in labor.She has had no prenatal care and vials of crack cocaine are found in her pockets.The nurse monitors this client carefully for which of the following intrapartum complications?

During a vaginal delivery, the obstetrician declares that a shoulder dystocia has occurred.Which of the following actions by the nurse is appropriate at this time?

A client is on magnesium sulfate for pre-eclampsia with severe features.The nurse must notify the attending physician regarding which of the following findings?

A client with an obstetrical history of G1 P0000 received dinoprostone for cervical ripening 8 hours ago.The Bishop score at that time was 4. The Bishop score is now 10. Which of the following actions by the nurse is appropriate?

The nursing staff in a labor and delivery unit has noticed an increase in the number of patients experiencing placental abruption.
The nurses begin to review demographics for the patients involved.
Which risk factors will the nurses expect? Select all that apply.