A client at 20 weeks gestation reports discomfort after amniocentesis procedure to the nurse. Which of the following assessment findings warrants priority action by the nurse?

Braxton Hicks contraction

Amniotic fluid contains fetal urine

Prolonged vaginal bleeding

Lab results reveal abnormal chromosome cells

Answer and Explanation

The Correct Answer is C

Explanation:

A. Braxton Hicks contraction

Braxton Hicks contractions are often referred to as "practice" contractions and are common during pregnancy. They are typically irregular and do not cause cervical changes. While discomfort after an amniocentesis procedure can sometimes trigger Braxton Hicks contractions, they are not usually a cause for immediate concern unless they become frequent, intense, or are accompanied by other signs of preterm labor, such as regular contractions, lower back pain, pelvic pressure, or changes in vaginal discharge.

B. Amniotic fluid contains fetal urine

The presence of fetal urine in the amniotic fluid is a normal and expected process during pregnancy. Fetal urine production contributes to the volume and composition of amniotic fluid, helping maintain the environment in the uterus and supporting fetal development. This finding is not directly related to the client's discomfort after an amniocentesis procedure and is not a cause for immediate concern unless there are other complications or abnormalities related to the amniotic fluid composition.

C. Prolonged vaginal bleeding

Prolonged vaginal bleeding after an amniocentesis procedure is a significant finding that requires immediate attention. While some spotting or mild bleeding can occur after the procedure, prolonged or significant bleeding may indicate complications such as uterine injury, placental abruption, or other issues that need urgent assessment and intervention by healthcare providers.

D. Lab results reveal abnormal chromosome cells

Abnormal chromosome cells found in the amniotic fluid sample obtained during amniocentesis may indicate genetic abnormalities or conditions in the fetus. While this finding is significant and requires follow-up and further evaluation, it is not an immediate concern in terms of the client's discomfort or the need for priority action by the nurse unless it is associated with other urgent clinical signs or symptoms.

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Correct Answer is A

Explanation

Explanation:

A. "Daily jogging for up to 30 minutes is fine throughout the pregnancy."

This response suggests that moderate-intensity exercise like jogging is safe throughout pregnancy. However, it's important to note that individual exercise recommendations can vary based on the woman's health status, pre-pregnancy fitness level, any pregnancy complications, and guidance from her healthcare provider. While moderate exercise is generally encouraged during pregnancy, it's crucial for the client to consult her healthcare provider for personalized recommendations.

B. "Activities that raise the body temperature, such as saunas and hot tubs, are safe until the third trimester."

This response addresses the importance of avoiding activities that can lead to overheating, such as using saunas or hot tubs, especially during the first trimester when fetal development is particularly sensitive. However, it doesn't specifically address general exercise guidelines.

C. "It is recommended that pregnant clients limit their exercise routine to stretching activities on a mat several times a week."

This response suggests a very conservative approach to exercise during pregnancy, focusing primarily on stretching activities. While stretching can be beneficial, it's important for pregnant individuals to engage in a variety of exercises, including aerobic and strength-training activities, as long as they are safe and appropriate for their pregnancy status.

D. "Exercising during pregnancy is not recommended."

This response is not accurate. Exercise during pregnancy is generally recommended and has numerous benefits for both the mother and baby, including improved cardiovascular health, reduced risk of gestational diabetes, enhanced mood, and better overall well-being. However, the type, intensity, and duration of exercise should be tailored to the individual's needs and guided by healthcare providers.

A. Preeclampsia B. Puerperal infection C. Anaphylactoid syndrome of pregnancy D. Disseminated intravascular coagulation

Correct Answer is D

Explanation

Explanation:

A. Preeclampsia: Preeclampsia is a condition characterized by high blood pressure and signs of damage to other organs, typically occurring after 20 weeks of pregnancy. While preeclampsia is a concern during pregnancy, it is not directly related to abruptio placentae.

B. Puerperal infection: Puerperal infection refers to an infection that occurs after childbirth. Although infections are a concern in the postpartum period, they are not specifically associated with abruptio placentae unless there are additional risk factors or complications.

C. Anaphylactoid syndrome of pregnancy: Anaphylactoid syndrome of pregnancy (also known as amniotic fluid embolism) is a rare but serious condition where amniotic fluid enters the maternal circulation, potentially causing a severe allergic-like reaction. This condition is not directly related to abruptio placentae.

D. Disseminated intravascular coagulation: DIC is a serious condition where the body's clotting mechanisms are abnormally activated, leading to widespread clot formation in small blood vessels. This can lead to bleeding tendencies and the formation of small blood clots throughout the body. DIC can be a complication of abruptio placentae, especially when there is evidence of bleeding such as petechiae and bleeding around the IV access site. Therefore, it is a significant concern in this context.

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A client at 20 weeks gestation reports discomfort after amniocentesis procedure to the nurse. Which of the following assessment findings warrants priority action by the nurse?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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