Sickle Cell Anemia
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Questions and Answers

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

  • Intimate partner violence
  • Depression
  • Substance abuse (correct)
  • Glucose tolerance screening test
  • What should the nurse include in the plan of care for a client in preterm labor who is receiving a magnesium sulfate infusion?

  • Ensure that calcium gluconate is on hand
  • Assess deep tendon reflexes (DTRs) every 4 hours
  • Monitor respiratory rate hourly and as needed (correct)
  • Evaluate urinary output every 24 hours
  • Which characteristics or problems can be identified through amniocentesis?

  • Gestational diabetes
  • Sex of the fetus
  • Polyhydramnios
  • Fetal lung maturity (correct)
  • What are the signs and symptoms of severe preeclampsia in a client at 29 weeks' gestation?

    <p>Blood pressure of 170/112 mm Hg</p> Signup and view all the answers

    According to the text, what symptoms of abruptio placentae require healthcare provider notification?

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

    According to the text, what information should the nurse obtain about a multigravid client at 12 weeks' gestation with abdominal pain and vaginal spotting?

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

    According to the text, 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

    According to the text, what 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

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

    <p>25%</p> Signup and view all the answers

    What is the nurse's first action when a client expresses concern about gaining weight during her first prenatal visit?

    <p>Ask her to come back to the clinic every 2 weeks for a weight check.</p> Signup and view all the answers

    When should a client push the control button during a nonstress test (NST) to mark the strip?

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

    What is the highest priority client goal after an amniotomy?

    <p>The client will maintain adequate fetal tissue perfusion.</p> Signup and view all the answers

    Which of the following is the purpose of assessing the client's fundal height during a routine visit for a 22-week pregnant client?

    <p>To estimate the 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

    Why is early detection of an ectopic pregnancy important?

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

    Which of the following 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

    What is the purpose of assessing the client's fundal height during a routine visit for a 22-week pregnant client?

    <p>To estimate the 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

    Which vital sign is the nurse's priority to address for a client diagnosed with preeclampsia?

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

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

    <p>Control of the growth of pathologic bacteria</p> Signup and view all the answers

    What is the highest priority nursing diagnosis for a client with an ectopic pregnancy?

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

    What do closed, thick, posterior cervix findings suggest in a pregnant client at 36 weeks?

    <p>Back labor</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 receiving nifedipine for preterm labor demonstrates 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

    Which assessments would the nurse perform on a client who is 22 weeks pregnant during a routine prenatal visit?

    <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 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 receiving nifedipine for preterm labor demonstrates 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 22 weeks pregnant during a routine prenatal visit?

    <p>Blood pressure</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

    True or false: The nurse should question the instruction to maintain bed rest.

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

    True or false: The nurse should question the instruction to administer magnesium sulfate 2 g/hour.

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

    True or false: The nurse should question the instruction to have the client eat a low-protein diet.

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

    True or false: The nurse should question the instruction to weigh the client weekly.

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

    True or false: The nurse should discuss substance abuse with the 17-year-old gravid client during her prenatal visit?

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

    True or false: The nurse should monitor the client's respiratory rate hourly and as needed during a magnesium sulfate infusion for preterm labor?

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

    True or false: Amniocentesis can be used to identify the sex of the fetus?

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

    True or false: A blood pressure of 170/112 mm Hg, 4+ proteinuria, and a weight gain of 10 lbs over the past 2 days are signs of severe preeclampsia?

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

    True or false: Handwashing or antiseptic use is important when entering and leaving a room in a hospital setting?

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

    True or false: Conducting preprocedure verification by asking for client name and procedure to be performed is important in a hospital setting?

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

    True or false: Isolating anyone with nausea and vomiting is a preventive measure for infection in a hospital setting?

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

    True or false: Using two client identifiers when initiating contact with a client is a standard practice in a hospital setting?

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

    True or false: The priority intervention for a client with preeclampsia is to administer an antihypertensive agent.

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

    True or false: Increased vaginal secretions in a pregnant client are usually a response related to the development of a sexually transmitted infection.

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

    True or false: The highest priority nursing diagnosis for a client with an ectopic pregnancy is impaired gas exchange.

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

    True or false: A client with a closed, thick, posterior cervix at 36 weeks is likely experiencing Braxton Hicks contractions.

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

    True or false: Assessing vital signs is not necessary when admitting a client with a suspected diagnosis of abruptio placentae?

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

    True or false: Rapid uterine contractions are a symptom that requires healthcare provider notification in a client with a suspected diagnosis of abruptio placentae?

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

    True or false: Monitoring blood sugar 3 times a day is not necessary in a client with type I diabetes mellitus (DM) who is 39 weeks pregnant?

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

    True or false: Administering ondansetron IV is not an appropriate intervention for a client with gestational trophoblastic disease (GTD) experiencing nausea and vomiting?

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

    True or false: If both parents have sickle cell trait, there is a 25% chance of having a child with sickle cell anemia.

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

    True or false: If one parent has sickle cell anemia, there is a 50% chance the child will have sickle cell anemia.

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

    True or false: Avoiding support hose that reach above the leg varicosities is the most helpful instruction for a multigravid client with varicose veins in her legs.

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

    True or false: The nurse needs to assess the client's fundal height to estimate fetal growth.

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

    True or false: The nurse's first action when a client expresses concern about gaining weight during her first prenatal visit is to ask her to come back to the clinic every 2 weeks for a weight check.

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

    True or false: Heartburn during pregnancy is caused by the backflow of stomach contents into the esophagus.

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

    True or false: Nausea and vomiting are symptoms that should alert the nurse to the possibility of an ectopic pregnancy.

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

    True or false: The nurse should assess the client's fundal height during a routine visit for a 22-week pregnant client.

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

    True or false: Increased peristaltic action during pregnancy causes decreased secretion of hydrochloric acid.

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

    True or false: Early detection of an ectopic pregnancy is important in preventing a life-threatening rupture.

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

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