A woman gives birth to a small infant with a malformed skull.

The infant grows abnormally slowly and shows signs of substantial cognitive and intellectual deficits.

The child also has facial abnormalities including a short nose and thin lip that become more striking as it develops.

Active herpes simplex infection.

Chronic cocaine use.

Folic acid deficiency.

Chronic alcohol use.

Folic acid deficiency.

Answer and Explanation

The Correct Answer is D

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Correct Answer is C

Explanation

The correct answer is choice C.

Choice A rationale:

Generalized vasospasm is not a symptom of abruptio placenta. It is more associated with conditions like preeclampsia.

Choice B rationale:

Abruptio placenta is usually associated with painful dark red vaginal bleeding, not painless bright red bleeding.

Choice C rationale:

“Knife-like” abdominal pain with vaginal bleeding is a classic symptom of abruptio placenta.

Choice D rationale:

Increased fetal movement is not a symptom of abruptio placenta. In fact, fetal movement may decrease due to distress.

A. Brownish vaginal discharge. B. Cervical dilation. C. Amniotic fluid in the vaginal vault. D. Report of pain above the umbilicus.

Correct Answer is B

Explanation

The correct answer is choice B.

Choice A rationale:

Brownish vaginal discharge can be a sign of labor but it is not definitive.

Choice B rationale:

Cervical dilation is a definitive sign that labor has started.

Choice C rationale:

Presence of amniotic fluid in the vaginal vault can indicate rupture of membranes but it does not confirm labor.

Choice D rationale:

Pain above the umbilicus is not a typical sign of labor.

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A woman gives birth to a small infant with a malformed skull. The infant grows abnormally slowly and shows signs of substantial cognitive and intellectual deficits. The child also has facial abnormalities including a short nose and thin lip that become more striking as it develops.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse has been assigned to assess a pregnant client for abruptio placenta.For which classic manifestation of this condition should the nurse assess?.

Correct Answer is C

Explanation

A nurse midwife is examining a client who is a primigravida at 42 weeks of gestation and states that she believes she is in labor.Which of the following findings confirm to the nurse that the client is in labor?.

Correct Answer is B

Explanation

At what time is the laboring client encouraged to push?

A nurse is providing teaching about newborn care to a client who is 2 hr postpartum.Which of the following statements by the client indicates a need for further teaching?

A nurse determines that a newborn has a 1-minute Apgar score of 5 points.What conclusion would the nurse make from this finding?.

A nurse is caring for a client who experienced a vaginal birth 12 hr ago.The nurse recognizes the client is in the dependent, taking in phase of maternal postpartum adjustment.Which of the following findings should the nurse expect during this phase?.

A nurse is caring for a pregnant client in labor in a health care facility.The nurse knows that which sign indicates that the patient is no longer in the first stage of labor?

A nurse is caring for a client who is postpartum and has a prescription for Rho (D) immunoglobulin.The nurse should verify which of the following prior to administration?.

Which action would be a priority for the nurse to complete immediately after the delivery of a 40-week gestation newborn?.

A nurse is assessing a postpartum woman.Which behavior would the nurse interpret as an indication that the woman is entering the taking-hold phase of the postpartum period?

A woman gives birth to a small infant with a malformed skull.

The infant grows abnormally slowly and shows signs of substantial cognitive and intellectual deficits.

The child also has facial abnormalities including a short nose and thin lip that become more striking as it develops.