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":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"B,C"},"D":{"answers":"C"},"E":{"answers":"A"}}

Explanation

Ultrasound Result
- Biophysical: The ultrasound result indicating normal fetal growth and development provides biophysical information about the fetus's condition.
Caffeine Intake
- Biophysical: Consuming 2 cups of coffee daily affects the biophysical aspect, as excessive caffeine intake can potentially impact fetal development.
Job (Cashier)
- Psychosocial: Prolonged standing and work-related stress can contribute to psychosocial risk factors during pregnancy.
- Environmental: The physical demands and environment of the job can increase the risk for complications.
Pets (Cats)
- Environmental: Having cats at home poses an environmental risk due to the potential exposure to Toxoplasma gondii, a parasite that can cause toxoplasmosis.
Medical History (Anemia)
- Biophysical: A history of mild anemia and current slightly low hemoglobin levels indicate biophysical risk factors that can impact pregnancy.

A. Sudden onset of respiratory distress. B. Maternal bradycardia. C. Category 1 fetal heart tracing. D. Acute, continuous abdominal pain.

Correct Answer is A

Explanation

Choice A rationale

Amniotic fluid embolism is characterized by the sudden onset of respiratory distress due to the entry of amniotic fluid into the maternal circulation.

Choice B rationale

Maternal bradycardia is not a specific symptom of amniotic fluid embolism and may be related to other cardiovascular conditions.

Choice C rationale

Category 1 fetal heart tracing indicates normal fetal heart rate and is not associated with amniotic fluid embolism.

Choice D rationale

Acute, continuous abdominal pain could indicate other obstetric emergencies but is not specifically linked to amniotic fluid embolism symptoms like respiratory distress.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"B,C"},"D":{"answers":"C"},"E":{"answers":"A"}}

Explanation

Which of the following would lead the nurse to suspect that a laboring client is experiencing Amniotic Fluid Embolism?

Correct Answer is A

Explanation

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