A nurse is reviewing the electronic health record (EHR) of a client at 36 weeks of gestation.
Which of the following findings should the nurse identify as placing the client at high risk for developing preeclampsia?

BMI of 28.

Age of 24.

Gestational hypertension.

Gravida 3 Para 2.

Answer and Explanation

The Correct Answer is C

Choice A rationale

A BMI of 28 is considered overweight, which can be a risk factor for preeclampsia but is not as strong an indicator as gestational hypertension. BMI alone does not automatically place someone at high risk.

Choice B rationale

Age of 24 is within the typical childbearing age range and is not considered a high-risk factor for preeclampsia. Extremes of maternal age (below 18 or above 35) are more significant risk factors.

Choice C rationale

Gestational hypertension is a significant risk factor for developing preeclampsia. It indicates elevated blood pressure during pregnancy, which can lead to preeclampsia if not managed properly.

Choice D rationale

Gravida 3 Para 2 indicates a woman who has had two previous pregnancies carried to viable gestational age. While multiparity can influence pregnancy outcomes, it is not a direct high-risk factor for preeclampsia like gestational hypertension is. .

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

Choice A rationale

Rh positive clients with Rh positive newborns do not require Rho(D) immune globulin because there is no risk of Rh incompatibility.

Choice B rationale

If both the client and the newborn are Rh positive, Rho(D) immune globulin is not needed since there is no risk of the client developing antibodies against Rh positive cells.

Choice C rationale

Rh negative clients with Rh negative newborns also do not require Rho(D) immune globulin since there is no Rh positive blood to cause an immune response.

Choice D rationale

Rh negative clients with Rh positive newborns need Rho(D) immune globulin to prevent the client from developing antibodies against Rh positive blood, which could affect future pregnancies.

A. The client who tested positive for a mutation of the GDF15 gene. B. The client whose TSH levels are low and whose T4 levels are currently elevated. C. The client who was diagnosed with Hashimoto's disease. D. The client who tested positive for Helicobacter pylori infection.

Correct Answer is C

Explanation

Choice A rationale

While mutations in certain genes can increase the risk of various conditions, a positive test for a mutation of the GDF15 gene is not specifically associated with hypothyroidism.

Choice B rationale

Low TSH and elevated T4 levels typically indicate hyperthyroidism, not hypothyroidism. Hypothyroidism is characterized by high TSH and low T4 levels.

Choice C rationale

Hashimoto's disease is an autoimmune disorder that destroys thyroid tissue, leading to hypothyroidism due to reduced thyroid hormone production.

Choice D rationale

Helicobacter pylori infection is associated with gastrointestinal issues, but it is not directly linked to an increased risk of hypothyroidism.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is reviewing the electronic health record (EHR) of a client at 36 weeks of gestation. Which of the following findings should the nurse identify as placing the client at high risk for developing preeclampsia?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is postpartum. Which of the following findings is an indication for the nurse to administer Rho(D) immune globulin?

Correct Answer is D

Explanation

A nurse is collecting data from the electronic health records (EHR) of a group of clients before their prenatal visits. Which of the following clients should the nurse identify as at risk for hypothyroidism?

Correct Answer is C

Explanation

A nurse is contributing to the care of a newborn who is experiencing hyperbilirubinemia and is receiving phototherapy. Which of the following findings indicate that the phototherapy is effective?

A nurse is assisting with a prenatal class and a learner asks the nurse to explain what happens during a prolapsed umbilical cord. Which of the following statements should the nurse make?

A nurse is reinforcing teaching about expected gestational changes with a client who is at 12 weeks of gestation. Which of the following statements by the client indicates a need for further teaching?

A nurse is assisting in the care of a newborn who is scheduled for a heel stick for genetic screening. Which of the following actions by the nurse demonstrates correct pain relief techniques for newborns?

A nurse is reinforcing teaching about hyperthyroidism with a client at 10 weeks of gestation who has the condition. Which of the following statements should the nurse reinforce in the teaching?

A nurse is reinforcing teaching with a newly licensed nurse about embryonic nutrition. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?

A nurse is preparing an in-service program about preventing medication errors when transcribing a prescription.

A nurse is collecting data from the perineal pad of a client who is 3 days postpartum. The nurse last checked the perineal pad 1 hour ago. There is 2 cm of red lochia on the pad. Which of the following correctly documents the nurse's finding?

A nurse is reviewing the electronic health record (EHR) of a client at 36 weeks of gestation.
Which of the following findings should the nurse identify as placing the client at high risk for developing preeclampsia?