A nurse is reviewing the medical record of a client who is in active labor.
Which of the following conditions increases the client's risk for postpartum hemorrhage (PPH)?

G6PD deficiency.

Von Willebrand disease.

History of hyperemesis gravidarum.

Peripheral artery disease.

Answer and Explanation

The Correct Answer is B

Choice A rationale

G6PD deficiency is an inherited condition affecting red blood cells but does not increase the risk of postpartum hemorrhage.

Choice B rationale

Von Willebrand disease is a bleeding disorder that can lead to excessive bleeding, increasing the risk of postpartum hemorrhage due to impaired blood clotting.

Choice C rationale

History of hyperemesis gravidarum is associated with severe nausea and vomiting in pregnancy but does not increase the risk of postpartum hemorrhage.

Choice D rationale

Peripheral artery disease affects blood flow to the limbs and does not directly increase the risk of postpartum hemorrhage.

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Correct Answer is D

Explanation

Choice A rationale

The hearing screening test is not related to brain development but specifically to the ability to hear sounds. It assesses the infant's auditory pathway from the ear to the brainstem to identify potential hearing loss early on.

Choice B rationale

This test does not assess for heart defects. Heart defects are usually detected through physical examination, pulse oximetry screening, or echocardiography, not through auditory tests.

Choice C rationale

Seizure disorders are diagnosed based on clinical presentation and electroencephalogram (EEG) results. The hearing screening test does not have any connection to identifying seizure disorders.

Choice D rationale

The primary purpose of the newborn hearing screening is to detect if the baby can hear various sounds, enabling early intervention if hearing loss is detected. Early identification and management are essential for speech and language development.

A. The client will be positioned in a prone position. B. The ultrasound will occur at 13 weeks of gestation. C. The ultrasound will be transvaginal. D. The client must have a full bladder.

Correct Answer is D

Explanation

Choice A rationale

The client will be positioned in a prone position is incorrect because the prone position is not used for fetal anatomy ultrasounds.

Choice B rationale

The ultrasound will occur at 13 weeks of gestation is incorrect as the typical timing for a detailed fetal anatomy scan is around 18-22 weeks of gestation, not 13 weeks.

Choice C rationale

The ultrasound will be transvaginal is incorrect because at 20 weeks of gestation, a transabdominal ultrasound is more commonly used rather than a transvaginal one.

Choice D rationale

The client must have a full bladder is correct because a full bladder helps lift the uterus out of the pelvis, providing a clearer view during the ultrasound.

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A nurse is reviewing the medical record of a client who is in active labor. Which of the following conditions increases the client's risk for postpartum hemorrhage (PPH)?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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A nurse is reviewing the medical record of a client who is in active labor.
Which of the following conditions increases the client's risk for postpartum hemorrhage (PPH)?