A nurse is assisting in the care of a client at 26 weeks of gestation who has just experienced an eclamptic seizure.
Which of the following interventions should the nurse expect at this time?
Continuous fetal monitoring.
Antenatal steroid administration.
Expectant management protocol.
Umbilical artery blood flow analysis.
The Correct Answer is A
Choice A rationale
Continuous fetal monitoring is expected because it provides ongoing information about the fetal heart rate and contractions, which is crucial after an eclamptic seizure.
Choice B rationale
Antenatal steroid administration is not the immediate intervention post-seizure but is given to enhance fetal lung maturity if preterm delivery is anticipated.
Choice C rationale
Expectant management protocol is incorrect because active management is required in the case of an eclamptic seizure to stabilize the mother and fetus.
Choice D rationale
Umbilical artery blood flow analysis might be part of a comprehensive evaluation but is not the immediate priority post-eclampsia seizure.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Painless, bright red vaginal bleeding at 36 weeks gestation is a classic sign of placenta previa, where the placenta is abnormally implanted in the lower uterine segment, covering the cervix, and causing bleeding without pain.
Choice B rationale
Threatened abortion is characterized by vaginal bleeding before 20 weeks of gestation with or without abdominal pain. At 36 weeks, the term would be inappropriate, and the symptoms do not match.
Choice C rationale
Abruptio placentae involves painful vaginal bleeding due to premature placental separation. The presence of pain differentiates it from placenta previa.
Choice D rationale
Preterm labor may present with contractions, cervical changes, and possible bleeding, but the key feature distinguishing it from placenta previa is the presence of uterine contractions and pain, which are absent in this scenario.
Correct Answer is D
Explanation
Choice A rationale
Heavy lochia alba is an incorrect choice as lochia alba typically occurs after 10 days postpartum and is characterized by a whitish or yellowish discharge, not red.
Choice B rationale
Heavy lochia rubra is an incorrect choice because lochia rubra is characterized by bright red bleeding but heavy lochia would involve saturation of the pad within an hour, which is not the case here.
Choice C rationale
Moderate lochia serosa is incorrect because lochia serosa is typically pink or brown and occurs from approximately day 4 to day 10 postpartum, not red.
Choice D rationale
Scant lochia rubra is correct as the client is 3 days postpartum with red lochia measuring 2 cm on the pad, which indicates a small amount of bleeding consistent with scant lochia rubra.
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