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A woman at 37 weeks of gestation with a history of asthma, after a domestic violence episode is admitted into the emergency room unit. She suddenly experiences increased contraction frequency of every 1 to 2 minutes; dark red vaginal bleeding; and a tense, severe abdomen pain. The nurse suspects the onset of
Select one:

Rupture of the uterus.

Placenta previa.

Eclamptic seizure.

Placental abruption.

Answer and Explanation

The Correct Answer is D

a. This is not the correct diagnosis for this situation.

b. This is not the correct diagnosis for this situation.

c. This is not the correct diagnosis for this situation.

d. The sudden onset of increased contraction frequency, dark red vaginal bleeding, and severe abdominal pain are characteristic of placental abruption.

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Correct Answer is B

Explanation

a. This does not follow the Nagele's rule.

b. Nagele's rule is a method to estimate the expected delivery date by adding 7 days and subtracting 3 months from the first day of the last normal menstrual period. In this case, adding 7 days to March 13 gives March 20, and subtracting 3 months gives December 20. Then, adding one year gives December 20, 2022.
c. This does not follow the Nagele's rule.

d. This does not follow the Nagele's rule.

A. Try sleeping on her side (lateral) position B. Try to spend less time sleeping C. Use two pillows in her head while sleeping D. Keep her legs elevated while sleeping

Correct Answer is A

Explanation

a. Sleeping on the left side (lateral) is recommended during pregnancy to improve circulation and prevent dizziness.
b. This is not a practical or safe solution to prevent dizziness.
c. This may not be effective in preventing dizziness, and it is not recommended to elevate the head during sleep in late pregnancy.
d. Elevating the legs may not be effective in preventing dizziness, and it is not recommended during sleep in late pregnancy.

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Naxlex Comprehensive Predictor Exams

A woman reports that her last normal menstrual period began on March 13, 2022. What is this woman's expected delivery date using Nagele's rule? Select one:

Correct Answer is B

Explanation

A 37 weeks pregnant female reports to the nurse that she is sleeping in a supine position and feels dizzy after waking up in the morning. What advice does the nurse give to the patient? Select one:

Correct Answer is A

Explanation

A woman at 10 weeks of gestation who is seen in the prenatal clinic with presumptive signs and symptoms of pregnancy likely will have:

The nurse tells a woman who is trying to conceive to check her cervical mucus for changes. What will she expect the characteristic of cervical mucus to be a few days before ovulation? Select one:

The nurse caring for the laboring woman should understand that early decelerations are caused by:

The nurse is reviewing the laboratory results of a patient and notes that the patient has low levels of gonadotropin-releasing hormone (GnRH). Which physiologic process would be highly affected in the patient?

A nurse is caring for a client who is a primigravida, at term, and having contractions but is stating that she is "not really sure if she is in labor or not." Which of the following should the nurse recognize as a sign of true labor?

A woman is at 9 weeks of gestation. The nurse would expect to palpate the fundus at which level? Select one:

A nurse in a provider's office is caring for a client who is at 36 weeks of gestation and scheduled for an amniocentesis. The client asks why she is having an ultrasound prior to the procedure. Which of the following is an appropriate response by the nurse?

A pregnant client is seen for a regular prenatal visit and tells the nurse that she is experiencing irregular contractions and painless. The nurse determines that she is experiencing Braxton Hicks contractions. On the basis of this finding, which nursing action is most appropriate? Select one: