A nurse is reinforcing teaching about risk factors for preeclampsia with a group of clients who are pregnant. Which of the following risk factors should the nurse include in the teaching?

Chronic hypertension

Maternal age of 30 years

Prepregnancy BMI of 19

Third pregnancy

Answer and Explanation

The Correct Answer is A

A) Correct - Chronic hypertension is a significant risk factor for developing preeclampsia during pregnancy. Preeclampsia is characterized by high blood pressure and organ damage, typically occurring after 20 weeks of pregnancy.
B) Incorrect- Maternal age of 30 years is not a specific risk factor for preeclampsia.

However, maternal age over 40 is considered a risk factor.

C) Incorrect- A prepregnancy BMI of 19 falls within the healthy weight range and is not typically associated with an increased risk of preeclampsia.
D) Incorrect- Having a third pregnancy is not inherently a strong risk factor for preeclampsia. Women experiencing their first pregnancy are at a slightly higher risk.

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Correct Answer is C

Explanation

A) Incorrect- Leakage of fluid is possible but not a primary focus of post-procedure instructions.
B) Incorrect- Milk of magnesia is not relevant to an amniocentesis procedure.

C) Correct - Reporting uterine contractions after the procedure is important as it could indicate a potential complication, such as preterm labor.
D) Incorrect- Blood work drawn before the procedure is not typically part of the amniocentesis process.

A. Administer the medication into the deltoid muscle. B. Administer the medication 12 hr after birth. C. Administer the medication with a 25-gauge needle. D. Check the mother's Rh factor prior to administration.

Correct Answer is C

Explanation

A) Incorrect- Administering medication into the deltoid muscle is not typically done in newborns. Phytonadione is given intramuscularly, usually in the vastus lateralis muscle, not the deltoid muscle.
B) Incorrect- Phytonadione should be given within 1 hour of birth, not 12 hours after birth. Delaying the administration increases the risk of bleeding complications.
C) Correct- The size of the needle is important for the newborn's comfort, A 25-gauge needle is the appropriate size for administering phytonadione to a newborn. A smaller needle may not deliver the medication adequately, and a larger needle may cause more tissue damage and bleeding.
D) Incorrect- The mother's Rh factor is irrelevant for the administration of phytonadione.

Rh factor affects the risk of hemolytic disease in the newborn, which is a different condition from hemorrhagic disease.

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A nurse is reinforcing teaching about risk factors for preeclampsia with a group of clients who are pregnant. Which of the following risk factors should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching about an amniocentesis with a client who is at 34 weeks of gestation. Which of the following instructions should the nurse include in the teaching?

Correct Answer is C

Explanation

A nurse is preparing to administer phytonadione to a newborn. Which of the following actions should the nurse take?

Correct Answer is C

Explanation

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