Sickle Cell Anemia

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26 Questions

Question 1

Handwashing

Question 2

Asking for client name and procedure

Question 3

Isolating anyone with nausea and vomiting

Question 4

Using two client identifiers

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

Substance abuse

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

Monitor respiratory rate hourly and as needed

Which characteristics or problems can be identified through amniocentesis?

Fetal lung maturity

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

All of the above

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

To estimate the fetal growth

What is the usual cause of heartburn during pregnancy?

Displacement of the stomach by the diaphragm

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

Abdominal pain, vaginal bleeding, and a positive pregnancy test

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

To prevent a life-threatening rupture

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

Primigravid

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

26 weeks

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

Blood pressure

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

Decrease in vaginal glycogen stores

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

Acute pain

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

Back labor

Which symptoms require healthcare provider notification of abruptio placentae?

Rapid uterine contractions

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

Last menstrual period

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

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

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

25%

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?

Avoid support hose that reach above the leg varicosities.

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.

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

Understanding the Genetic Risk of Sickle Cell Anemia: Test your knowledge on the chances of passing on sickle cell anemia based on parental traits and learn important facts about this genetic condition.

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