A nurse is caring for a client who is in active labor and reports sudden, severe lower abdominal pain. The nurse observes a drop in the client's blood pressure and notes cool skin and pallor. The fetal heart rate tracing shows prolonged bradycardia. Which of the following complications should the nurse suspect?
Amniotic fluid embolism
Umbilical cord prolapse
Uterine rupture
Placenta previa
The Correct Answer is C
Uterine rupture. The sudden, severe lower abdominal pain, drop in blood pressure, and signs of shock such as cool skin and pallor all point to a potential intra-abdominal hemorrhage most likely due to Uterine rupture. Additionally, the prolonged bradycardia on the fetal heart rate tracing indicates that the baby may be experiencing fetal distress due to a compromised blood supply. Amniotic fluid embolism triggers an allergic reaction, causing a sudden onset of respiratory distress, hypotension, and cardiac arrest. Option D, placenta previa, occurs when the placenta implants in the lower uterine segment, partially or completely covering the cervical os. This can lead to painless vaginal bleeding but typically does not present with sudden, severe abdominal pain or signs of shock.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. "Move your toddler to his new bed 2 months before the baby comes home.": While moving the toddler to a new bed ahead of time may reduce disruption, it does not directly address fostering a relationship between the toddler and the new sibling.
B. "Avoid bringing your toddler to prenatal visits.": This discourages inclusion and may make the toddler feel left out of the excitement and preparations.
C. "Require scheduled interactions between the toddler and the baby.": Establishing structured, predictable interactions ensures the toddler becomes familiar with and accepts the baby as part of their life. These positive, guided interactions can help the toddler develop affection for their sibling and feel included.
D. "Let your toddler see you carrying the baby into the home for the first time.": This approach could make the toddler feel excluded, as it focuses on the baby rather than involving the toddler in the homecoming experience.
Correct Answer is B
Explanation
Answer and explanation
A. Decreased maternal hormones during pregnancy might affect fetal development, but it is not directly linked to the assessment finding of flat areola with no bud in a newborn.
B. Preterm gestational age is the most likely condition indicated by the finding of flat areola with no bud. Breast tissue development in newborns correlates with gestational age. In preterm infants, the breast tissue is often less developed, resulting in a flat areola without a bud.
C. Ambiguous secondary sex characteristics refer to physical traits that do not distinctly fit typical definitions of male or female. The described finding of flat areola with no bud is a specific developmental feature rather than a characteristic of ambiguous secondary sex traits.
D. Congenital anomalies are structural or functional abnormalities present at birth, but the described finding of flat areola with no bud is more indicative of prematurity rather than a congenital anomaly.
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