Sickle Cell Anemia
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Questions and Answers

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?

    <p>Prepare for immediate delivery</p> 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?

    <p>Notify the health care provider (HCP) of the client's blood pressure</p> Signup and view all the answers

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

    <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 experiencing severe left lower quadrant pain and vaginal spotting?

    <p>Acute pain</p> 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?

    <p>Back labor</p> 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?

    <p>Avoid support hose that reach above the leg varicosities.</p> 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?

    <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 beginning of each contraction</p> Signup and view all the answers

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

    <p>The client will maintain adequate fetal tissue perfusion.</p> 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?

    <p>To estimate the fetal growth</p> 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?

    <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 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

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

    <p>Ectopic pregnancy</p> Signup and view all the answers

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

    <p>To estimate gestational age</p> Signup and view all the answers

    Which symptoms require healthcare provider notification of abruptio placentae?

    <p>Rapid uterine contractions</p> 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?

    <p>Last menstrual period</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</p> 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?

    <p>Administer ondansetron IV</p> 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?

    <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?

    <p>blood pressure</p> 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?

    <p>overt vaginal bleeding</p> Signup and view all the answers

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

    <p>peanut butter with crackers and a juice drink</p> Signup and view all the answers

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