Which of the following is a risk factor for cervical insufficiency?
Multiple gestation.
Advanced maternal age.
History of preterm labor.
Cervical surgery.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Anemia in pregnancy requires increased iron intake to support hemoglobin production, essential for oxygen transport in the blood. Iron-rich foods, such as red meat and leafy greens, are recommended.
Choice B rationale
Decreasing protein intake is counterproductive for anemic pregnant clients. Protein is vital for overall health and fetal development, and adequate intake should be maintained.
Choice C rationale
Calcium-rich foods are important but do not directly address anemia. They support bone health, and while necessary, they do not substitute the need for increased iron in anemic clients.
Choice D rationale
Vitamin C intake should be increased alongside iron-rich foods as it enhances iron absorption. However, increasing vitamin C alone does not suffice to correct anemia without adequate iron intake.
Correct Answer is C
Explanation
Choice A rationale
While taking antipsychotics is important, the nurse’s immediate priority should be to assess for harm to the patient or infant, which poses an immediate danger.
Choice B rationale
Monitoring the infant’s health is important but secondary to ensuring the patient and infant's immediate safety from potential harm due to psychosis.
Choice C rationale
Assessing thoughts of harm is crucial in postpartum psychosis as it helps in identifying immediate risks to the patient and infant, allowing for timely interventions.
Choice D rationale
Reviewing the medical record for bipolar disorder is important for treatment planning but not as immediately critical as assessing for thoughts of harm.
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