Sickle Cell Anemia
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Questions and Answers

Question 1

  • Wearing a mask
  • Wearing gloves
  • Handwashing (correct)
  • Using hand sanitizer

Question 2

  • Administering medication
  • Assessing pain level
  • Asking for client name and procedure (correct)
  • Checking vital signs

Question 3

  • Isolating anyone with a cough
  • Isolating anyone with fever
  • Isolating anyone with a rash
  • Isolating anyone with nausea and vomiting (correct)

Question 4

<p>Using two client identifiers (C)</p> Signup and view all the answers

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

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

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

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

Which characteristics or problems can be identified through amniocentesis?

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

What are the signs and symptoms of severe preeclampsia in a client at 29 weeks' gestation?

<p>All of the above (D)</p> Signup and view all the answers

Which of the following is an important reason for assessing a client's fundal height during pregnancy?

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

What is the usual cause of heartburn during pregnancy?

<p>Displacement of the stomach by the diaphragm (C)</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 (D)</p> Signup and view all the answers

What is an important reason for early detection of an ectopic pregnancy?

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

What is the term used to describe a woman who is pregnant for the first time?

<p>Primigravid (C)</p> Signup and view all the answers

What is the gestational age of the client in the given scenario?

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

Which vital sign is the highest priority for the nurse to notify the health care provider (HCP) about?

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

What is the most likely reason for the client's increased vaginal secretions during pregnancy?

<p>Decrease in vaginal glycogen stores (B)</p> Signup and view all the answers

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

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

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

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

Which symptoms require healthcare provider notification of abruptio placentae?

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

Which information should the nurse obtain about the client's history for a multigravid client with abdominal pain and vaginal spotting?

<p>Last menstrual period (D)</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 (D)</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 (B)</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% (C)</p> Signup and view all the answers

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?

<p>Avoid support hose that reach above the leg varicosities. (A)</p> Signup and view all the answers

During her first prenatal visit, a client expresses concern about gaining weight. What is the nurse's first action?

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

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 (A)</p> Signup and view all the answers

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