A nurse is caring for a client who is at 37 weeks of gestation and reports a slow trickle of vaginal fluid for the past 12 hr. Which of the following diagnostic tests should the nurse anticipate?

Speculum exam to test for fetal fibronectin

Amniocentesis to determine fetal lung maturity

Urinalysis to determine protein content

Vaginal swab for nitrazine testing

Answer and Explanation

The Correct Answer is D

A. Fetal fibronectin testing is used to assess risk for preterm labor, not to confirm rupture of membranes.
B. Amniocentesis for fetal lung maturity is generally not needed at 37 weeks or later.
C. Urinalysis is for urinary tract issues, not for detecting amniotic fluid.
D. Nitrazine testing helps determine if vaginal fluid is amniotic fluid by assessing pH, aiding in diagnosing rupture of membranes.

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Correct Answer is B

Explanation

A. There is no vaccine for hepatitis C; vaccines exist for hepatitis A and B.
B. Syphilis can be cured effectively with penicillin, especially in early stages.
C. Gonorrhea can be treated and cured with appropriate antibiotics.
D. Genital herpes simplex virus is a viral infection and cannot be cured with antibiotics; antiviral medications manage symptoms.

A. Labor induction with oxytocin B. Newborn weight 2.948 kg (6 lb 8 oz) C. History of human papillomavirus D. History of uterine atony E. Vacuum-assisted delivery

Correct Answer is ["A","D","E"]

Explanation

A. Labor induction with oxytocin increases the risk for uterine atony due to prolonged stimulation of uterine muscles, which predisposes the client to postpartum hemorrhage.
B. A newborn weight of 2.948 kg (6 lb 8 oz) is within normal range and does not increase the risk for postpartum hemorrhage.
C. A history of human papillomavirus (HPV) does not contribute to postpartum hemorrhage risk.
D. A history of uterine atony places the client at high risk for postpartum hemorrhage, as the uterus may fail to contract effectively after delivery.
E. Vacuum-assisted delivery increases the risk of trauma and retained placental fragments, both of which can lead to postpartum hemorrhage.

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A nurse is caring for a client who is at 37 weeks of gestation and reports a slow trickle of vaginal fluid for the past 12 hr. Which of the following diagnostic tests should the nurse anticipate?

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Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is ["A","D","E"]

Explanation

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