A nurse is reinforcing teaching with a client who is at 34 weeks of gestation and at risk for placental abruption. Does the nurse recognize that which of the following is the most common risk factor for a placental abruption?
Maternal hypertension.
Maternal cocaine use.
Maternal cigarette smoking.
Maternal battering.
The Correct Answer is A
The correct answer is choice A, Maternal hypertension.
Choice A rationale:
Maternal hypertension is widely recognized as the most common risk factor for placental abruption. High blood pressure can cause the placenta to detach from the uterine wall, leading to abruption. In summary, while all the listed factors can contribute to the risk of placental abruption, maternal hypertension stands out as the most common cause, supported by multiple health sources. It’s important for nurses to recognize and manage hypertension in pregnant clients to minimize the risk of this serious complication.
Choice B rationale:
While maternal cocaine use is a significant risk factor for placental abruption due to its vasoconstrictive effects, which can compromise the placental blood flow, it is not as common as maternal hypertension.
Choice C rationale:
Maternal cigarette smoking is also a risk factor for placental abruption. Smoking can lead to a variety of complications in pregnancy, including placental problems, but again, it is less common than hypertension as a cause for abruption.
Choice D rationale:
Maternal battering can lead to trauma which may result in placental abruption. However, it is not considered the most common risk factor when compared to maternal hypertension.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Abdominal pain with minimal red vaginal bleeding may not be as concerning as other options. While it could be a sign of placenta previa, it is not as specific or significant as the finding in Choice B.
Choice B rationale:
A large amount of bright red vaginal bleeding without pain is a significant finding that is highly suggestive of placenta previa. Placenta previa occurs when the placenta partially or completely covers the cervix, and vaginal bleeding is a common symptom. The bright red colour indicates active bleeding, and the absence of pain is noteworthy as placenta previa bleeding is typically painless.
Choice C rationale:
Severe abdominal pain with increasing fundal height is not a typical sign of placenta previa. While abdominal pain can be associated with various pregnancy complications, it is not a specific finding for this condition.
Choice D rationale:
Intermittent abdominal pain following the passage of bloody mucus could be related to other issues, such as preterm labor or cervical changes. While bleeding may be present in placenta previa, the pain and passage of mucus are not characteristic features of this condition.
Correct Answer is ["A","D","E"]
Explanation
Dysuria - Dysuria refers to painful or difficult urination. In a client with a urinary tract infection (UTI), this symptom is commonly present. The rationale behind this finding is that the infection irritates the urinary tract, causing discomfort and pain during urination. The client may experience a burning sensation or pressure while passing urine.
Choice D rationale
Hematuria - Hematuria refers to the presence of blood in the urine. In the case of a UTI, inflammation of the urinary tract can lead to tiny blood vessels rupturing, resulting in blood in the urine. This can cause the urine to appear pink, red, or brownish.
Choice E rationale:
Urinary frequency - Urinary frequency is another common symptom of a UTI. The infection can irritate the bladder lining, leading to an increased urge to urinate even when the bladder is not full. The client may feel the need to urinate frequently throughout the day and night.
Choice B rationale
Dependent edema - Dependent edema is not typically associated with a urinary tract infection. Edema is the accumulation of fluid in tissues, often causing swelling in the lower extremities due to gravity (dependent). This symptom is more commonly related to issues such as heart, kidney, or liver problems.
Choice C rationale
Polyuria - Polyuria refers to excessive urination, usually producing abnormally large volumes of urine. While frequent urination is a symptom of a UTI, polyuria, in this context, is not accurate. UTIs tend to cause frequent but smaller volumes of urine due to the irritation and inflammation of the bladder.
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