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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 A

Explanation

a. Amenorrhea, or the absence of menstrual periods, is a presumptive sign of pregnancy that occurs around the time of implantation of the fertilized egg.
b. A positive pregnancy test is a probable sign of pregnancy that can occur as early as 7-10 days after conception.
c. Chadwick's sign, or the bluish discoloration of the cervix and vagina, is a probable sign of pregnancy that typically occurs around 6-8 weeks of gestation.
d. Hegar's sign, or the softening of the lower uterine segment, is a probable sign of pregnancy that typically occurs around 6-12 weeks of gestation.

A. Knot in the umbilical cord. B. Altered fetal cerebral blood flow. C. Uteroplacental insufficiency. D. Umbilical cord compression.

Correct Answer is C

Explanation

a. This is a common cause of variable decelerations, not late decelerations.

b. This is a common cause of variable decelerations, not late decelerations.

c. Late decelerations are caused by decreased blood flow to the placenta during contractions, resulting in a reduced oxygen supply to the fetus.
d. This is a common cause of variable decelerations, not late decelerations.

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Naxlex Comprehensive Predictor Exams

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

Correct Answer is A

Explanation

The nurse providing care for the laboring woman recognizes that late fetal heart rate (FHR) decelerations are caused by: Select one:

Correct Answer is C

Explanation

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?

The nurse is caring for a woman hospitalized for hyperemesis gravidarum. What should the nurse expect the initial treatment will be? Select one:

A nurse in a community clinic is counseling a client who received a positive test result for chlamydia. Which of the following statements should the nurse provide?

A nurse is caring for a client who is scheduled for a maternal serum alpha-fetoprotein test at 15 weeks of gestation. The nurse provides which of the following explanations about this test to the client?

A woman complains of severe abdominal and pelvic pain around the time of menstruation that has gotten worse over the last 5 years. She also complains of pain during intercourse and has tried unsuccessfully to get pregnant for the past 18 months. These symptoms are most likely related to:

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?

During the physical examination for the first prenatal visit, it is noted that Chadwick's sign is present. What is the interpretation of Chadwick's sign? Select one:

When evaluating a patient for sexually transmitted infections (STIs), the nurse should be aware that the most common bacterial STI is: Select one: