A nurse is assessing a client who is at 27 weeks of gestation and has preeclampsia. Which of the following findings should the nurse report to the provider?
Creatinine 0.8 mg/dL.
Platelet count 60,000/mm.
Hemoglobin 148 g/dL.
Urine protein concentration 200.
The Correct Answer is B
A platelet count of 60,000/mm is low and can be a sign of HELLP syndrome (Hemolysis Elevated Liver enzymes Low Platelet count), which is a serious complication of preeclampsia.
Choice A is not the answer because a creatinine level of 0.8 mg/dL is within the normal range.
Choice C is not the answer because a hemoglobin level of 148 g/dL is within the normal range.
Choice D is not the answer because urine protein concentration of 200 mg/dL is within the normal range for preeclampsia.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
This can be a sign of magnesium toxicity and should be reported to the provider.
Choice A is incorrect because magnesium sulfate is used to treat hypertension associated with preeclampsia.
Choice B is incorrect because a respiratory rate of 16/min is within normal range.
Choice D is incorrect because hyperglycemia is not a known adverse reaction to magnesium sulfate.
Correct Answer is A
Explanation
Rust-stained urine.
Rust-stained urine in a newborn can be a sign of a serious medical condition and should be reported to the provider.
Choice B is not the answer because subconjunctival hemorrhage in a newborn is usually normal and harmless.
It may be caused by pressure changes during vaginal delivery and will disappear on its own after two or three weeks.
Choice C is not the answer because single palmar creases develop while a baby
is growing in the womb and appear in about 1 out of 30 people.
While some single palmar creases may indicate problems with development and be linked with certain disorders, it is not necessarily a cause for concern.
Choice D is not the answer because transient circumoral cyanosis refers to blue discoloration around the mouth only and is usually seen in infants.
It’s often considered a type of acrocyanosis which happens when small blood vessels shrink in response to cold.
This is very normal in infants during the first few days after birth.
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