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A nurse is completing the admission assessment of a client who is at 38 weeks of gestation and has severe preeclampsia.
Which of the following is an expected finding?.

Report of headache.

Absence of clonus.

Polyuria.

Tachycardia.

Answer and Explanation

The Correct Answer is A

The correct answer is choice A.

Choice A rationale:

A headache is a common symptom of severe preeclampsia due to increased blood pressure in the brain.

Choice B rationale:

The presence, not absence, of clonus (a series of involuntary muscular contractions and relaxations) is a sign of severe preeclampsia.

Choice C rationale:

Oliguria, not polyuria, is a symptom of severe preeclampsia due to decreased renal perfusion.

Choice D rationale:

Tachycardia is not typically associated with preeclampsia. It could be a sign of other complications.

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Correct Answer is D

No explanation

A. The infant probably has either a congenital heart defect or an immature respiratory system. B. The infant requires immediate and aggressive interventions for survival. C. The infant is experiencing moderate difficulty in adjusting to extrauterine life. D. The infant is adjusting well to extrauterine life.

Correct Answer is C

Explanation

The correct answer is choice C.

Choice A rationale:

A 1-minute Apgar score of 5 points does not necessarily indicate a congenital heart defect or an immature respiratory system.

Choice B rationale:

An Apgar score of 5 points at 1 minute does not require immediate and aggressive interventions for survival.

Choice C rationale:

A 1-minute Apgar score of 5 points indicates that the infant is experiencing moderate difficulty in adjusting to extrauterine life.

Choice D rationale:

An Apgar score of 5 points at 1 minute does not indicate that the infant is adjusting well to extrauterine life.

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A nurse is completing the admission assessment of a client who is at 38 weeks of gestation and has severe preeclampsia.Which of the following is an expected finding?.

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A nurse is completing the admission assessment of a client who is at 38 weeks of gestation and has severe preeclampsia.
Which of the following is an expected finding?.