As a nurse caring for a group of clients on an intrapartum unit, which of the following findings should be immediately reported to the provider?
A client diagnosed with preeclampsia reports epigastric pain and unresolved headache
A tearful client at 32 weeks of gestation experiencing irregular, frequent contractions
A client diagnosed with preeclampsia has 2+ proteinuria and 2+ patellar reflexes
A client at 28 weeks of gestation receiving terbutaline reports fine tremors
The Correct Answer is A
Choice A rationale
A client diagnosed with preeclampsia reporting epigastric pain and unresolved headache is a serious concern. Epigastric pain could indicate severe liver involvement, and a persistent headache could be a sign of progressing neurological involvement, both of which are severe features of preeclampsia. These symptoms suggest the condition may be worsening to eclampsia, a life-threatening complication characterized by the onset of seizure activity or coma in a woman with preeclampsia. Immediate medical attention is necessary to prevent further complications.
Choice B rationale
A tearful client at 32 weeks of gestation experiencing irregular, frequent contractions could be experiencing preterm labor. However, emotional distress and contractions do not necessarily indicate a medical emergency. It’s important to monitor the situation, but it does not need to be immediately reported to the provider.
Choice C rationale
A client diagnosed with preeclampsia having 2+ proteinuria and 2+ patellar reflexes are expected findings. Proteinuria is a common sign of preeclampsia, and hyperreflexia can occur due to increased neuromuscular irritability. While these should be monitored, they do not need to be immediately reported to the provider.
Choice D rationale
A client at 28 weeks of gestation receiving terbutaline reporting fine tremors is an expected side effect of the medication. Terbutaline, a beta-adrenergic agonist, can cause tremors by stimulating the nervous system. While it may be uncomfortable for the client, it is not a medical emergency.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Tremors are a common side effect of terbutaline. Terbutaline is a medication used to inhibit uterine contractions in preterm labor. It is a beta-adrenergic agonist, and stimulation of the beta-adrenergic receptors can lead to side effects such as tremors.
Correct Answer is C
Explanation
Choice A rationale
It is not recommended to increase weight-bearing exercises during pregnancy. Weight-bearing exercises can put additional stress on the joints, which are already under strain due to the increased weight and changes in body shape during pregnancy.
Choice B rationale
It is not necessary to refrain from exercises that include stretching during pregnancy. In fact, gentle stretching can be beneficial to help alleviate some common discomforts of pregnancy such as backache and leg cramps.
Choice C rationale
Moderate exercise does improve circulation. Improved circulation can help reduce swelling, varicose veins, and feelings of fatigue, which are common during pregnancy.
Choice D rationale
It is not necessary to rest for 30 minutes before each new exercise. However, pregnant women should listen to their bodies and rest if they feel tired.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.