Sickle Cell Anemia

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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?

At the end of fetal movement Signup and view all the answers

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

Pregnancy-induced hypertension 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?

"I will move about frequently to keep my contractions regular." 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?

Weight 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?

Overt vaginal bleeding 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?

Blood pressure Signup and view all the answers

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

A decrease in vaginal glycogen stores 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?

Acute pain 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?

Back labor 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?

Substance abuse 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?

Monitor respiratory rate hourly and as needed Signup and view all the answers

Which characteristics or problems can be identified through amniocentesis?

Fetal lung maturity Signup and view all the answers

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

Administer antihypertensive medication Signup and view all the answers

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

To estimate fetal growth Signup and view all the answers

What is the usual cause of heartburn during pregnancy?

Displacement of the stomach by the diaphragm Signup and view all the answers

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

Abdominal pain, vaginal bleeding, and a positive pregnancy test Signup and view all the answers

Why is early detection of an ectopic pregnancy important?

To prevent a life-threatening rupture Signup and view all the answers

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

26 weeks Signup and view all the answers

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

Primigravida Signup and view all the answers

Which symptoms require healthcare provider notification of abruptio placentae?

Rapid uterine contractions 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?

Last menstrual period 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?

Performing twice-weekly fetal nonstress tests 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?

Administer ondansetron IV Signup and view all the answers