You are attending a staff meeting when the discussion about preeclampsia complications arises.Which of the following statements by the nurse educator is correct regarding HELLP syndrome?
This syndrome includes decreased LDH.
This syndrome includes increased red blood cell production.
This syndrome includes elevated liver enzymes.
This syndrome includes increased platelets.
The Correct Answer is C
Choice A rationale
HELLP syndrome includes elevated LDH levels, indicating hemolysis, not decreased levels.
Choice B rationale
HELLP syndrome involves hemolysis, reducing red blood cells, not increasing their production.
Choice C rationale
Elevated liver enzymes are a key feature of HELLP syndrome, reflecting liver damage.
Choice D rationale
HELLP syndrome is characterized by low platelets (thrombocytopenia), not increased platelets.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Ibuprofen is not recommended during pregnancy, especially in the later stages, as it can cause harm to the fetus and affect amniotic fluid levels.
Choice B rationale
While hydration is crucial for managing Hyperemesis Gravidarum, 0.9% Sodium Chloride alone won't address the underlying symptoms like nausea and vomiting effectively.
Choice C rationale
Magnesium Sulfate is typically used to prevent seizures in preeclampsia, not for Hyperemesis Gravidarum.
Choice D rationale
Pyridoxine (vitamin B6) is often recommended for Hyperemesis Gravidarum as it can help reduce nausea and vomiting.
Correct Answer is D
Explanation
Choice A rationale
Abruptio placentae involves the premature separation of the placenta from the uterus, causing abdominal pain and bleeding. However, the severe left-sided pain and uncertain last menstrual period suggest another condition rather than abruption.
Choice B rationale
Gestational trophoblastic disease is characterized by abnormal growth of trophoblasts, the cells that normally develop into the placenta. It is usually identified by abnormal bleeding and unusually high hCG levels, not the acute symptoms described.
Choice C rationale
Complete abortion refers to the expulsion of all products of conception, typically accompanied by heavy bleeding and cramping. While it involves vaginal bleeding, the severe unilateral pain and low blood pressure suggest a different diagnosis.
Choice D rationale
Ectopic pregnancy, where a fertilized egg implants outside the uterus, typically causes severe unilateral pain and can lead to internal bleeding, resulting in low blood pressure and a high heart rate. These symptoms align with the client's presentation and are a medical emergency.
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