Sickle Cell Anemia

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Which items should the nurse discuss with the 17-year-old gravid client?

Intimate partner violence
Glucose tolerance screening test
Substance abuse (correct)
Depression

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

Assess deep tendon reflexes (DTRs) every 4 hours
Evaluate urinary output every 24 hours
Monitor respiratory rate hourly and as needed (correct)
Ensure that calcium gluconate is on hand

Which characteristics or problems can be identified through amniocentesis?

Polyhydramnios
Sex of the fetus
Gestational diabetes
Fetal lung maturity (correct)

What is the most appropriate nursing action for a client at 29 weeks' gestation with severe preeclampsia?

Prepare for immediate delivery (A) Signup and view all the answers

Which of the following is the priority intervention for a client with preeclampsia and a blood pressure of 149/92 mm Hg?

Notify the health care provider (HCP) of the client's blood pressure (C) Signup and view all the answers

What factor is likely responsible for a primigravid client having clear, highly acidic vaginal secretions during pregnancy?

Control of the growth of pathologic bacteria (D) 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 (A) Signup and view all the answers

What is suggested by a closed, thick, posterior cervix in a pregnant client experiencing pulling and tightening sensations over her pubic bone every 15 minutes at 36 weeks gestation?

Back labor (A) Signup and view all the answers

Which of the following is the correct instruction for a pregnant client with varicose veins in her legs who stands for long periods while working in a factory?

Avoid support hose that reach above the leg varicosities. (D) Signup and view all the answers

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

Ask her to come back to the clinic every 2 weeks for a weight check. (B) Signup and view all the answers

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

At the beginning of each contraction (A) Signup and view all the answers

After an amniotomy, which client goal should take the highest priority?

The client will maintain adequate fetal tissue perfusion. (D) Signup and view all the answers

During a routine visit, a nurse needs to assess a client's fundal height. What is the purpose of this assessment?

To estimate the fetal growth (A) Signup and view all the answers

A client at 26 weeks' gestation asks the nurse about the cause of heartburn during pregnancy. What is the nurse's best response?

Displacement of the stomach by the diaphragm (D) Signup and view all the answers

Why is early detection of an ectopic pregnancy important?

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

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

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

A client is experiencing amenorrhea and a negative pregnancy test. What condition should the nurse suspect?

Ectopic pregnancy (A) Signup and view all the answers

What is the purpose of assessing the client's fundal height during pregnancy?

To estimate gestational age (B) Signup and view all the answers

Which symptoms require healthcare provider notification of abruptio placentae?

Rapid uterine contractions (C) Signup and view all the answers

What information should the nurse obtain about a multigravid client at 12 weeks' gestation with abdominal pain and vaginal spotting?

Last menstrual period (B) 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 (B) Signup and view all the answers

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

Administer ondansetron IV (B) Signup and view all the answers

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

"I will move about frequently to keep my contractions regular." (B) Signup and view all the answers

What assessments would the nurse perform on a client who is 22 weeks pregnant?

blood pressure (D) Signup and view all the answers

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

overt vaginal bleeding (C) Signup and view all the answers

Which food choices are convenient for teens yet nutritious for both the mother and fetus?

peanut butter with crackers and a juice drink (D) Signup and view all the answers

Substance abuse discussion

Discuss the risks of substance use during pregnancy.

Magnesium sulfate monitoring

Monitor respiratory rate during magnesium infusion.