Sickle Cell Anemia
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Sickle Cell Anemia

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Questions and Answers

Which of the following is the correct chance of having a child with sickle cell anemia if both parents have sickle cell trait?

  • 50%
  • 75%
  • 100%
  • 25% (correct)
  • A multigravid client who stands for long periods while working in a factory visits the prenatal clinic at 35 weeks' gestation, stating, 'The varicose veins in my legs have really been bothering me lately.' Which instruction would be most helpful?

  • Take a leave of absence from work to avoid prolonged standing.
  • Take frequent rest periods with the legs elevated above the hips.
  • Perform slow contraction and relaxation of the feet and ankles twice daily.
  • Avoid support hose that reach above the leg varicosities. (correct)
  • During her first prenatal visit, a client expresses concern about gaining weight. What is the nurse's first action?

  • Ask her to come back to the clinic every 2 weeks for a weight check. (correct)
  • Ask the client how she feels about gaining weight and provide instructions about expected weight gain and diet.
  • Be alert for a possible eating problem and do a further in-depth assessment.
  • Report the client's concerns to her caregiver.
  • During a nonstress test (NST), the electronic tracing displays a relatively flat line for fetal movement, making it difficult to evaluate the fetal heart rate (FHR). To mark the strip, a nurse should instruct the client to push the control button at which time?

    <p>At the end of fetal movement</p> Signup and view all the answers

    Which of the following complications is a client with diabetes at increased risk for during prenatal screening?

    <p>Pregnancy-induced hypertension</p> Signup and view all the answers

    Which of the following statements made by a client on nifedipine for preterm labor demonstrate an understanding of the plan of care?

    <p>&quot;I will move about frequently to keep my contractions regular.&quot;</p> Signup and view all the answers

    What assessments would the nurse perform on a client who is G1 Para 0 and is 22 weeks' gestation?

    <p>Weight</p> Signup and view all the answers

    Which assessment data would require the nurse to notify the healthcare provider immediately for a client with a suspected diagnosis of abruptio placentae?

    <p>Overt vaginal bleeding</p> Signup and view all the answers

    Which vital sign is the priority for the nurse to notify the health care provider (HCP) about in a client with preeclampsia?

    <p>Blood pressure</p> Signup and view all the answers

    What is the most likely cause of increased vaginal secretions in a pregnant client?

    <p>A decrease in vaginal glycogen stores</p> Signup and view all the answers

    What is the highest priority nursing diagnosis for a client with an ectopic pregnancy experiencing severe left lower quadrant pain and vaginal spotting?

    <p>Acute pain</p> Signup and view all the answers

    What do closed, thick, posterior cervix and pulling and tightening sensation over the pubic bone every 15 minutes suggest in a client at 36 weeks of pregnancy?

    <p>Back labor</p> Signup and view all the answers

    Which of the following should the nurse discuss with the 17-year-old gravid client during her prenatal visit?

    <p>Substance abuse</p> Signup and view all the answers

    What should the nurse include in the plan of care for a client in preterm labor receiving a magnesium sulfate infusion?

    <p>Monitor respiratory rate hourly and as needed</p> Signup and view all the answers

    Which characteristics or problems can be identified through amniocentesis?

    <p>Fetal lung maturity</p> Signup and view all the answers

    What is the most appropriate nursing intervention for a client with severe preeclampsia?

    <p>Administer antihypertensive medication</p> Signup and view all the answers

    Which of the following is the primary reason for assessing a pregnant client's fundal height?

    <p>To estimate fetal growth</p> Signup and view all the answers

    What is the usual cause of heartburn during pregnancy?

    <p>Displacement of the stomach by the diaphragm</p> Signup and view all the answers

    What symptoms should alert the nurse to the possibility of an ectopic pregnancy?

    <p>Abdominal pain, vaginal bleeding, and a positive pregnancy test</p> Signup and view all the answers

    Why is early detection of an ectopic pregnancy important?

    <p>To prevent a life-threatening rupture</p> Signup and view all the answers

    At what gestational age was the primigravid client in question 47?

    <p>26 weeks</p> Signup and view all the answers

    What is the correct term for a woman who is pregnant for the first time?

    <p>Primigravida</p> Signup and view all the answers

    Which symptoms require healthcare provider notification of abruptio placentae?

    <p>Rapid uterine contractions</p> Signup and view all the answers

    What information should the nurse obtain about a multigravid client with sharp right-sided abdominal pain and vaginal spotting?

    <p>Last menstrual period</p> Signup and view all the answers

    What should be included in the plan of care for a client with type I diabetes mellitus (DM) who is 39 weeks pregnant?

    <p>Performing twice-weekly fetal nonstress tests</p> Signup and view all the answers

    Which interventions should be included in the plan of care for a client with gestational trophoblastic disease (GTD) experiencing nausea and vomiting?

    <p>Administer ondansetron IV</p> Signup and view all the answers

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