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A nurse is caring for a client who has an abruptio placentae. Which of the following findings should the nurse expect?

A.

First trimester bleeding

B.

Severe abdominal pain

C.

Nausea

D.

Delayed menses

Answer and Explanation

The Correct Answer is B

A. First trimester bleeding. Abruptio placentae typically occurs in the third trimester, not the first. First trimester bleeding is more commonly associated with miscarriage or ectopic pregnancy.
B. Severe abdominal pain. Abruptio placentae involves the premature separation of the placenta from the uterine wall, often leading to sudden, severe abdominal pain and possibly vaginal bleeding. It is a medical emergency requiring immediate attention.
C. Nausea. While nausea can occur during pregnancy, it is not a hallmark symptom of abruptio placentae and does not assist in differentiating it from other complications.
D. Delayed menses. Delayed menses may indicate early pregnancy, but it is not related to abruptio placentae, which occurs later in pregnancy.


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Related Questions

Correct Answer is A

Explanation

A. "I will hang a new bag of TPN and IV tubing every 24 hours." This is the correct action. TPN solutions are high in glucose and lipids, which create an ideal environment for bacterial growth. Changing the bag and tubing every 24 hours reduces the risk of infection and sepsis, especially in clients with central lines.
B. "I will obtain the client's weight every other day." Weight should be monitored daily in clients receiving TPN to assess for fluid status, nutritional progress, and potential complications like fluid overload or retention.
C. "I will monitor the client's blood glucose level every 8 hours." Clients receiving TPN require more frequent glucose monitoring, typically every 4 to 6 hours, especially when therapy is initiated, due to the high dextrose content that can cause hyperglycemia.
D. “I will increase the rate of the TPN infusion to ensure the correct amount is given." TPN infusion rates should never be adjusted independently by a nurse. Changes must be made only with a provider’s order, as improper rate adjustments can lead to electrolyte imbalances, hyperglycemia, or fluid overload.

Correct Answer is {"dropdown-group-1":"E","dropdown-group-2":"C"}

Explanation

The client presents with symptoms suggestive of severe preeclampsia, including headache, nausea, right upper quadrant pain, facial and dependent edema, rapid weight gain, and 3+ deep tendon reflexes (hyperreflexia). Hyperreflexia is a sign of central nervous system irritability, which can precede seizures (eclampsia) and increase the risk for placental abruption—a premature separation of the placenta from the uterine wall. This is a medical emergency that can result in fetal and maternal complications.

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