A nurse is caring for a client who is at 41 weeks of gestation. The nurse should understand that which of the following findings can indicate a prenatal complication in this client?
Blurred vision
Shortness of breath
Non-pitting ankle edema
Leukorrhea
The Correct Answer is A
A. Blurred vision can indicate a prenatal complication, such as preeclampsia, which is a serious condition that can develop in the later stages of pregnancy and requires immediate attention. Preeclampsia can lead to severe health issues for both the mother and baby.
B. Shortness of breath can be a normal part of late pregnancy due to the pressure on the diaphragm from the growing uterus. While it should be monitored, it is not specifically indicative of a complication compared to other symptoms.
C. Non-pitting ankle edema is common in the later stages of pregnancy and is not necessarily a sign of a complication on its own. It can occur due to the increased fluid volume and pressure from the uterus.
D. Leukorrhea, or increased vaginal discharge, is a common and normal finding in pregnancy, especially as labor approaches. It is generally not a sign of a complication unless accompanied by other concerning symptoms.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Chronic hypertension is a significant risk factor for preeclampsia. Pregnant clients with pre-existing high blood pressure are at increased risk for developing this condition, which can lead to complications for both the mother and the baby.
B. Maternal age of 30 years is not considered a high-risk factor for preeclampsia. Advanced maternal age (35 years and older) is more commonly associated with an increased risk.
C. The third pregnancy alone is not a risk factor for preeclampsia. First pregnancies or a history of preeclampsia in previous pregnancies are more relevant risk factors.
D. A prepregnancy BMI of 19 is within the normal weight range and is not associated with an increased risk of preeclampsia. Obesity or a high BMI is more closely linked to the development of preeclampsia.
Correct Answer is C
Explanation
A. Using a plastic cover on the crib mattress is not recommended because it can increase the risk of suffocation or overheating. Crib mattresses should be kept clean, but protective covers are not recommended for safety.
B. Placing a foam-wedge cushion under the newborn during naps is unsafe and increases the risk of Sudden Infant Death Syndrome (SIDS). Newborns should be placed on a firm, flat mattress for all sleep periods.
C. Ensuring that the mattress fits securely against the sides of the crib is crucial for preventing suffocation hazards. A snug fit between the mattress and crib sides prevents entrapment and ensures the baby’s safety while sleeping.
D. Placing bumper pads between the mattress and the rails of the crib is considered dangerous as they can pose suffocation and strangulation risks. Bumper pads are not recommended due to these safety hazards.
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