A nurse is assisting with the care of a 30-week gestation female client in the obstetric unit presenting with abdominal cramping and back pain.

Exhibits

For each finding, click to specify if the client finding is consistent with placenta previa, preterm labor, or abruptio placentae. Each finding may support more than one condition or none at all. There must be at least one selection in every column.

Pain report

Uterine contractions

Perineal pad findings

Cervical dilation

Answer and Explanation

The Correct Answer is {"A":{"answers":"B"},"B":{"answers":"B"},"C":{"answers":"A,B,C"},"D":{"answers":"A"}}

Client Findings	Placenta Previa	Preterm Labor	Abruptio Placentae
Pain report		X
Uterine contractions		X
Perineal pad findings	X	X	X
Cervical dilation	X

Pain report: The client reports low back pain and abdominal cramping, which can be associated with both preterm labor and abruptio placentae.
Uterine contractions: Regular uterine contractions are a sign of preterm labor.
Perineal pad findings: Bright red bleeding is consistent with all three conditions.
Cervical dilation: Cervical dilation is a sign of preterm labor and placenta previa.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

Choice A rationale

Fever is not a common adverse effect of nalbuphine hydrochloride; it may indicate an infection rather than a reaction to the medication.

Choice B rationale

Diarrhea is not typically associated with nalbuphine hydrochloride, which primarily affects the central nervous system.

Choice C rationale

Sedation is a known adverse effect of nalbuphine hydrochloride as it acts on the central nervous system to relieve pain, which can cause drowsiness.

Choice D rationale

Diuresis (increased urine production) is not a common side effect of nalbuphine hydrochloride.

A. Have the client ambulate as often as possible. B. Apply warm, moist packs to the client's lower legs. C. Apply elastic stockings before the client gets out of bed. D. Administer NSAIDs every 6 to 8 hours.

Correct Answer is A

Explanation

Choice A rationale

Encouraging ambulation as often as possible helps to stimulate circulation and prevent the formation of blood clots in the legs, thereby reducing the risk of thrombophlebitis. Movement promotes venous return and prevents stasis, which is a primary factor in clot formation.

Choice B rationale

Warm, moist packs can provide comfort and relieve muscle tension but are not specifically effective in preventing thrombophlebitis. They do not promote circulation as effectively as ambulation.

Choice C rationale

Elastic stockings can be helpful in maintaining venous return but should be used alongside other measures like ambulation. They alone are insufficient to prevent thrombophlebitis if the client remains immobile.

Choice D rationale

NSAIDs can reduce inflammation and pain but do not specifically prevent thrombophlebitis. Regular movement and other preventive measures are necessary to effectively prevent blood clots.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with the care of a client who is in labor and has received nalbuphine hydrochloride. Which of the following manifestations should the nurse identify as an adverse effect of this medication?

Correct Answer is C

Explanation

A nurse is reinforcing teaching with a newly licensed nurse concerning a client on a postpartum unit following a cesarean birth. Which of the following measures should the nurse include in the instructions to prevent thrombophlebitis?

Correct Answer is A

Explanation

A nurse in an obstetric clinic is caring for four clients. The nurse should identify that an intrauterine device is contraindicated for which of the following clients?

A nurse is planning to administer Rh(D) immune globulin to a client who is postpartum. Which of the following actions should the nurse take?

A nurse is contributing to the plan of care for a newborn who requires phototherapy for hyperbilirubinemia. Which of the following interventions should the nurse recommend including in the plan?

A nurse is caring for a client who is pregnant and has a vaginal culture that is positive for chlamydia. Which of the following medications should the nurse plan to administer?

A nurse is reinforcing teaching about preterm labor with a client who is at 28 weeks of gestation. Which of the following statements by the client indicates an understanding of the teaching?

A nurse is reinforcing teaching with a client about various contraceptive methods. Which of the following statements should the nurse include in the teaching?

A nurse is assisting with the care of a newborn who has neonatal abstinence syndrome. Which of the following actions should the nurse take first?

A nurse is assisting with the care of a client who is in labor and has received nalbuphine hydrochloride. Which of the following manifestations should the nurse identify as an adverse effect of this medication?