A nurse is providing discharge teaching to a client who had pre-eclampsia and delivered a healthy newborn.
Which of the following statements by the client indicates an understanding of the teaching?
“I should report any vaginal bleeding to my provider.”
“I can stop taking my blood pressure medication now.”
“I should avoid breastfeeding until my condition resolves.”
“I should have a follow-up visit with my provider in a week."
The Correct Answer is D
The client should have a follow-up visit with the provider in a week. This is because preeclampsia can persist or develop after delivery and requires close monitoring of blood pressure and signs of organ injury.
Choice A is wrong because vaginal bleeding is normal after delivery and does not indicate a complication of preeclampsia.
Choice B is wrong because the client should not stop taking blood pressure medication without consulting the provider. Preeclampsia can cause hypertension that may need treatment even after delivery.
Choice C is wrong because breastfeeding is not contraindicated for women with preeclampsia. Breastfeeding may even lower blood pressure and help the uterus contract.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D","E"]
Explanation
The correct answer is choice A, C, D and E. Here is why:
• Choice A is correct becausedisseminated intravascular coagulation (DIC)is a blood clotting disorder that can develop as a complication of HELLP syndrome.DIC can result in excessive bleeding or blood clots in various organs.
• Choice B is wrong becauseacute kidney injuryis not a common complication of HELLP syndrome.However, preeclampsia can cause kidney damage and proteinuria (high levels of protein in the urine).
• Choice C is correct becausepulmonary edemais a condition where fluid accumulates in and around the lungs, impairing oxygen absorption.It can occur as a complication of HELLP syndrome due to high blood pressure and fluid overload.
• Choice D is correct becauseplacental abruptionis a condition where the placenta separates from the uterus before delivery.
It can cause severe bleeding and fetal distress.It can occur as a complication of HELLP syndrome due to high blood pressure and abnormal blood clotting.
• Choice E is correct becausefetal growth restrictionis a condition where the fetus does not grow as expected.It can occur as a complication of HELLP syndrome due to reduced blood flow and oxygen delivery to the placenta.
Normal ranges for liver enzymes are:
• Alanine aminotransferase (ALT): 7 to 55 units per liter (U/L)
• Aspartate aminotransferase (AST): 8 to 48 U/L
• Alkaline phosphatase (ALP): 45 to 115 U/L
Normal range for platelet count is:
• 150,000 to 450,000 platelets per microlitre.
Correct Answer is A
Explanation
Urinary output of 100 mL in 4 hr is an indication of magnesium sulfate toxicity.Magnesium sulfate is used to prevent seizures in women with severe preeclampsia or eclampsia.Taking too much magnesium can be life-threatening to both mother and child.
Choice B is wrong because
Choice C is wrong because patellar reflex of +2 is normal and not a sign of toxicity.Loss of deep tendon reflexes can occur with magnesium overdose.
Choice D is wrong because serum magnesium level of 4 mEq/L is normal and not a sign of toxicity.Toxic levels are usually above 8 mEq/L.
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