A nurse is caring for a client following an amniocentesis at 18 weeks of gestation. Which of the following findings should the nurse report to the provider as a potential complication?

Increased fetal movement

Leakage of fluid from the vagina

Upper abdominal discomfort

Urinary frequency

Answer and Explanation

The Correct Answer is B

The correct answer is B.

A. Increased fetal movement: Increased fetal movement is generally not considered a complication after an amniocentesis. Fetal movement is a positive sign, indicating fetal well-being. However, it's important to monitor for any changes in movement patterns.

B. Leakage of fluid from the vagina: Leakage of amniotic fluid from the vagina is a potential complication after amniocentesis. It may indicate rupture of the amniotic sac, which can lead to preterm labor and other complications. This finding should be reported promptly to the healthcare provider.

C. Upper abdominal discomfort: Mild upper abdominal discomfort can occur after an amniocentesis, but it is not typically a severe complication. It may be related to the procedure itself and often resolves with rest. However, persistent or severe discomfort should be reported.

D. Urinary frequency: Urinary frequency is not typically associated with complications after an amniocentesis. It may be a normal symptom related to the position of the uterus or other factors, but it does not generally warrant immediate reporting as a complication.

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Correct Answer is D

Explanation

Choice A Reason:

"The nurse will carry your newborn to the nursery for procedures. "This statement is inappropriate. In current practice, there is an emphasis on family-centered care, and parents are often encouraged to be involved in the care of their newborns, including accompanying them for procedures whenever possible.

Choice B Reason:

"We will document the relationship of visitors in your medical record." This statement is inappropriate. While it is important to monitor and document visitors, the primary focus here is on healthcare staff and their identification.

Choice C Reason:

"Your baby will stay in the nursery while you are asleep." This statement is inappropriate. Promoting rooming-in and encouraging parental involvement in newborn care is a common practice to support bonding and breastfeeding, so this statement may not align with current best practices.

Choice D Reason:

"Staff members who take care of your baby will be wearing a photo identification badge." This statement reassures the client that the healthcare providers involved in the care of the newborn will have proper identification, enhancing security and ensuring that authorized personnel are handling the infant.

A. Place warm, moist packs on the breasts. B. Apply cabbage leaves to the breasts. C. Wear a loose-fitting bra. D. Put green teabags on the breasts.

Correct Answer is B

Explanation

The correct answer is B.

A. Place warm, moist packs on the breasts: Warm, moist packs can increase blood flow and may actually stimulate milk production. This is not an appropriate intervention for lactation suppression.

B. Apply cabbage leaves to the breasts: This is the correct intervention. Cabbage leaves have been traditionally used to help reduce engorgement and suppress lactation. The mechanism is not fully understood, but it is believed that compounds in cabbage may help decrease milk supply.

C. Wear a loose-fitting bra: Wearing a loose-fitting bra can help reduce friction and discomfort, but it is not a specific intervention for lactation suppression.

D. Put green teabags on the breast: Green teabags are not commonly recommended for lactation suppression. Cabbage leaves are more widely accepted for this purpose.

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A nurse is caring for a client following an amniocentesis at 18 weeks of gestation. Which of the following findings should the nurse report to the provider as a potential complication?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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