A nurse is assisting in the care of a client who has eclampsia.
Which of the following changes should the nurse recognize as being associated with eclampsia?
Decreased arterial resistance.
Unexpected placental implantation.
Increased uterine spiral artery remodeling.
Vasodilation.
The Correct Answer is C
Choice A rationale
Decreased arterial resistance is not associated with eclampsia. Eclampsia is characterized by increased arterial resistance due to hypertension and vascular changes during pregnancy.
Choice B rationale
Unexpected placental implantation is not a feature of eclampsia. Eclampsia is related to the development of seizures in the context of preeclampsia, which involves high blood pressure and organ damage.
Choice C rationale
Increased uterine spiral artery remodeling is associated with the pathophysiology of eclampsia. Poor remodeling leads to inadequate blood flow to the placenta, contributing to the development of hypertension and related complications.
Choice D rationale
Vasodilation is not typically associated with eclampsia. Instead, vasoconstriction and endothelial dysfunction are more common, leading to high blood pressure and potential organ damage.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
A hymenal tag and white discharge on the genitalia are normal findings in newborn females, often due to maternal hormone exposure.
Choice B rationale
Edema on the scalp that crosses suture lines, known as caput succedaneum, is common and typically resolves on its own without intervention.
Choice C rationale
A heart murmur in a newborn can be normal, as many murmurs are benign and resolve as the newborn's circulation adjusts post-birth.
Choice D rationale
A large, deep sacral dimple above the gluteal cleft can be an indication of underlying spinal abnormalities, such as spina bifida, and requires further evaluation.
Correct Answer is B
Explanation
Choice A rationale
Feeding the newborn water during the procedure is incorrect because water does not provide effective pain relief during procedures.
Choice B rationale
Placing the newborn's arms and legs in flexion and close to the midline of the torso is correct as this position, known as facilitated tucking, provides comfort and can help reduce pain.
Choice C rationale
Placing the newborn supine during the procedure is incorrect because it does not provide any specific pain relief benefits.
Choice D rationale
Elevating the newborn's head during the procedure is not specifically related to pain relief but is more about positioning for ease of access. .
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