Which of the following is a risk factor for cervical insufficiency?

Multiple gestation.

Advanced maternal age.

History of preterm labor.

Cervical surgery.

Answer and Explanation

The Correct Answer is D

Choice A rationale

Multiple gestation increases pregnancy risks but is not directly linked to cervical insufficiency, which involves premature cervical dilation leading to preterm birth or loss without uterine contractions.

Choice B rationale

Advanced maternal age presents various pregnancy risks, including chromosomal abnormalities and hypertension, but is not a primary risk factor for cervical insufficiency, which involves cervical structural issues.

Choice C rationale

A history of preterm labor involves previous early deliveries but does not specifically indicate cervical insufficiency, which is characterized by painless cervical dilation and effacement in the second trimester.

Choice D rationale

Cervical surgery, such as conization or LEEP, can weaken the cervical structure, increasing the risk of cervical insufficiency by reducing the cervix’s ability to remain closed during pregnancy.

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

Explanation

Choice A rationale

Placing the mother in the knee-chest position helps relieve pressure on the umbilical cord, improving blood flow and oxygen delivery to the fetus.

Choice B rationale

Encouraging vigorous pushing can exacerbate the prolapse, reducing blood flow to the fetus and increasing the risk of complications.

Choice C rationale

Applying a warm compress to the umbilical cord is not effective in managing a prolapsed cord and does not improve fetal outcomes.

Choice D rationale

Administering oxygen to the mother increases the amount of oxygen delivered to the fetus, potentially mitigating the effects of the prolapse.

A. It destroys Rh antibodies in newborns who are Rh positive. B. It damages Rh antibodies in mothers who are Rh negative. C. It stops the formation of Rh antibodies in newborns who are Rh positive. D. It prevents the formation of Rh antibodies in mothers who are Rh negative.

Correct Answer is D

Explanation

Choice A rationale

Rh (D) immunoglobulin does not destroy Rh antibodies in newborns; it prevents maternal immune response.

Choice B rationale

Rh (D) immunoglobulin does not damage Rh antibodies in Rh-negative mothers; it prevents antibody formation.

Choice C rationale

Rh (D) immunoglobulin does not stop Rh antibody formation in Rh-positive newborns but prevents it in Rh-negative mothers.

Choice D rationale

Rh (D) immunoglobulin prevents the formation of Rh antibodies in Rh-negative mothers, reducing the risk of hemolytic disease in future pregnancies.

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Which of the following is a risk factor for cervical insufficiency?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which interventions are appropriate when managing a prolapsed umbilical cord during labor? (Select all that apply)

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

Explanation

A nurse is teaching a client who is postpartum and has a new prescription for an injection of Rh (D) immunoglobulin. Which of the following should be included in the teaching?

Correct Answer is D

Explanation

What is the characteristic appearance of gestational trophoblastic disease (GTD) on ultrasound?

A nurse is caring for a client at 28 weeks of gestation who has a blood pressure reading of 162/108 mm Hg, and 4 hours previously it was 148/98 mm Hg. Which of the following orders should the nurse anticipate receiving? (Select all that apply))

A nurse is reviewing charts for clients who have a diagnosis of placental abruption. Which of the following clients needs an emergent cesarean section?

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A client has been diagnosed with a ruptured ectopic pregnancy. Which of the following signs or symptoms is characteristic of this diagnosis?

A nurse is planning care for a 4-hour-old newborn born to a client who has a prenatal history of substance use disorder. Which of the following interventions should the nurse include in the plan of care?

Which of the following is a common respiratory anomaly associated with preterm birth?

A nurse is teaching a client at 24 weeks of gestation about special considerations of gestational diabetes mellitus (GDM). Which of the following statements by the client indicates that the teaching was effective? (Select all that apply)