A nurse is educating a client who has just tested positive for pregnancy.
The nurse is discussing common discomforts during the first trimester and warning signs of potential complications.
Which of the following symptoms should the nurse advise the client to report to the clinic?

Facial edema

Leukorrhea

Nausea and vomiting

Urinary frequency

Answer and Explanation

The Correct Answer is A

Choice A rationale

Facial edema, or swelling in the face, can be a sign of a serious complication during pregnancy, such as preeclampsia. Preeclampsia is a condition characterized by high blood pressure and signs of damage to another organ system, often the liver and kidneys.

Choice B rationale

Leukorrhea, or a thick, milky discharge from the vagina, is a common and normal symptom of pregnancy. It is not typically a sign of a complication.

Choice C rationale

Nausea and vomiting are common symptoms during the first trimester of pregnancy. However, severe or persistent nausea and vomiting can indicate a condition called hyperemesis gravidarum, which requires medical attention.

Choice D rationale

Urinary frequency is a common symptom during pregnancy and is not typically a sign of a complication.

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Correct Answer is C

Explanation

Choice A rationale

While an elevated WBC count can indicate an infection, it is not the most important symptom to monitor in a patient with idiopathic thrombocytopenic purpura (ITP). ITP is primarily a platelet disorder, and while infection can trigger or exacerbate the condition, an elevated WBC count is not a direct symptom of ITP78.

Choice B rationale

Fever can be a sign of infection, which can trigger or exacerbate ITP. However, it is not the most important symptom to monitor in a patient with ITP78.

Choice C rationale

Ecchymosis, or bruising, is a key symptom of ITP. Because ITP involves a decrease in platelets, which are necessary for clotting, patients with this condition are prone to bruising and bleeding. Therefore, monitoring for ecchymosis is crucial.

Choice D rationale

Fatigue can be a symptom of ITP, but it is not the most important symptom to monitor. While fatigue can impact a patient’s quality of life, it does not directly indicate the severity of the condition.

A. It is used to stop preterm labor contractions. B. It increases the fetal heart rate. C. It promotes fetal lung maturity. D. It is used to promote relaxation and alleviate anxiety.

Correct Answer is A

Explanation

Choice A rationale

Magnesium sulfate is used in preterm labor to suppress contractions and delay the birth of a preterm baby. It works by lowering the amount of calcium in the uterine muscles, which in turn encourages muscle relaxation. This effect can help slow or inhibit contractions, allowing more time for the administration of corticosteroids before birth. Corticosteroids can improve a baby’s lung function and reduce the risk of dying by 40 percent if given within 48 hours. Therefore, magnesium sulfate is used to stop preterm labor contractions.

Choice B rationale

Magnesium sulfate does not directly increase the fetal heart rate. Its primary role in the context of preterm labor is to inhibit contractions.

Choice C rationale

While magnesium sulfate is used in the context of preterm labor, it does not directly promote fetal lung maturity. However, by delaying delivery, it allows more time for the administration of corticosteroids, which can enhance the baby’s lung function.

Choice D rationale

While magnesium sulfate can have a muscle-relaxing effect, its primary use in the context of preterm labor is not to promote relaxation or alleviate anxiety in the mother. Its main role is to inhibit uterine contractions.

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A nurse is educating a client who has just tested positive for pregnancy.The nurse is discussing common discomforts during the first trimester and warning signs of potential complications.Which of the following symptoms should the nurse advise the client to report to the clinic?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is developing a care plan for a patient who has been diagnosed with idiopathic thrombocytopenic purpura (ITP). Which of the following symptoms is most important for the nurse to monitor?

Correct Answer is C

Explanation

A nurse is admitting a client who is at 30 weeks of gestation and is in preterm labor.The client has a new prescription for magnesium sulfate.Which of the following explanations should the nurse provide about the purpose of this medication?

Correct Answer is A

Explanation

A provider is evaluating labor progress and remarks that "there is plenty of room in the pelvis". The nurse should recognize this is part of the provider's assessment of which of the 5 P's?

Exhibits Based on the information in the newborn's medical record, the nurse determines that the newborn is at risk for developing which of the following complications?

A client’s prenatal laboratory findings reveal no immunity to rubella.The health care provider orders the rubella vaccine.The nurse concludes that teaching about this medication is effective when the client states which of the following?

A nurse is preparing to discharge a patient who has sickle cell anemia following an acute crisis episode.Which instructions should the nurse include in the teaching?

A nurse is educating a client who has just tested positive for pregnancy.The nurse is discussing common discomforts during the first trimester and warning signs of potential complications.Which of the following symptoms should the nurse advise the client to report to the clinic?

A nurse is caring for a client who has just been admitted to the medical-surgical unit from the emergency department.The nurse is reviewing the client’s medical records.Which of the following conditions is the client most likely experiencing, based on the client’s notes and actions to be taken?

A nurse is administering Packed Red Blood Cells (PRBC) to a client who reports having lower back pain and feeling chilled and itchy.Which of the following actions should the nurse take first?

As a nurse caring for a group of clients on an intrapartum unit, which of the following findings should be immediately reported to the provider?

A nurse is educating a client who has just tested positive for pregnancy.
The nurse is discussing common discomforts during the first trimester and warning signs of potential complications.
Which of the following symptoms should the nurse advise the client to report to the clinic?