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A nurse is reviewing the medical record of a client who is postpartum and has preeclampsi

Hct 39.6

Serum albumin 4.5 g/dL

WBC 9.000/mm

Platelets 50,000/mm

Answer and Explanation

The Correct Answer is D

Choice A Reason:

Hct 39.6 is incorrect. This hemoglobin level is within a typical range and may not require immediate intervention.

Choice B Reason:

Serum albumin 4.5 g/dL is incorrect. A serum albumin level of 4.5 g/dL is within the normal range and does not suggest an urgent issue.

Choice C Reason:

WBC 9,000/mm³ is incorrect. A white blood cell count of 9,000/mm³ is within the normal range and is not typically a cause for immediate concern in the absence of other symptoms or indications.

Choice D Reason:

Platelets 50,000/mm³ is correct. A platelet count of 50,000/mm³ is significantly below the normal range and may indicate thrombocytopenia, a condition associated with preeclampsi

A. Thrombocytopenia in preeclampsia can lead to bleeding complications and requires close monitoring and management.

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Correct Answer is C

Explanation

The correct answer is C. Continuous contraction lasting 2 min.

A. Pressure on the perineum causing the client to bear down is a common sign in the later stages of labor when the cervix is fully dilated. It is not typically a cause for immediate concern during the admission phase.

B. Expulsion of clear fluid from the vagina may be amniotic fluid, which can indicate rupture of membranes. While important to note, it is not as urgent as a prolonged contraction.

C. Continuous contraction lasting 2 min is a concerning finding and should be reported first.

A contraction lasting 2 minutes is excessively long and may lead to decreased uterine blood flow, affecting fetal oxygenation. It requires prompt attention from the healthcare provider.

D. Expulsion of a blood-tinged mucous plug, also known as the "bloody show," is a common occurrence in early labor and is not as urgent as the prolonged contraction.

A. Flaccid uterus B. Cervical laceration C. Excess vaginal bleeding D. Increased afterbirth cramping E. Increased maternal temperature

Correct Answer is ["A","C"]

No explanation

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A nurse is reviewing the medical record of a client who is postpartum and has preeclampsi

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is admitting a client who is at 38 weeks of gestation and is in the first stage of labor. Which of the following assessment findings should the nurse report to the provider first?

Correct Answer is C

Explanation

A nurse is preparing to administer oxytocin to a client who is postpartum. Which of the following findings is an indication for the administration of the medication? (Select all that apply.)

Correct Answer is ["A","C"]

A nurse is caring for a client who is receiving oxytocin for induction of labor and has an intrauterine pressure catheter (IUPC) placed to monitor uterine contractions. For which of the following contraction patterns should the nurse discontinue the infusion of oxytocin?

A nurse receives report about a client who is in labor and is having contractions 4 min apart. Which of the following patterns should the nurse expect on the fetal monitoring tracing?

A nurse is assessing a newborn who is 12 hr old. Which of the following manifestations requires intervention by the nurse?

A nurse in the emergency department is admitting a client who is at 40 weeks of gestation, has ruptured membranes, and the nurse observes the newborn's head is crowning. The client tells the nurse she wants to push. Which of the following statements should the nurse make to the client?

A nurse is reviewing the medical record of a client who is postpartum and has preeclampsi

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