Exhibits
The client is at risk of developing
The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"E"}
Rationale for Correct Choices:
Chorioamnionitis is a bacterial infection of the amniotic fluid and fetal membranes, which can develop when the protective barrier is compromised due to prolonged rupture of membranes. This client reported clear fluid discharge the previous evening, indicating that the membranes have been ruptured for an extended period. The risk of infection increases significantly as time progresses. Additionally, the client exhibits signs of maternal restlessness and increased fetal heart rate, which could indicate an early response to infection or fetal distress.
Hemorrhage is a significant risk during labor, especially as the cervix approaches full dilation and the client exhibits increasing amounts of blood-tinged vaginal discharge. The client’s history of previous pregnancy loss and current cervical changes suggest that monitoring for postpartum hemorrhage will be essential, particularly after delivery.
Rationale for Incorrect Choices:
Disseminated intravascular coagulopathy is a severe complication associated with conditions such as placental abruption, preeclampsia, or amniotic fluid embolism. However, this client does not exhibit hallmark signs such as widespread bruising, uncontrolled bleeding, or abnormal clotting, making this a less likely immediate risk.
Seizures are characteristic of eclampsia, which is typically preceded by severe preeclampsia. While the client is restless and experiencing significant pain, there are no findings of hypertension, hyperreflexia, or neurological disturbances such as visual changes or altered mental status, making seizures an unlikely concern at this time.
Preeclampsia is a hypertensive disorder of pregnancy characterized by elevated blood pressure, proteinuria, and systemic symptoms. This client has stable blood pressure readings within the normal range, no evidence of proteinuria, and no indications of significant organ dysfunction, making preeclampsia an unlikely concern.
Dehydration is a potential concern due to the client’s nausea, vomiting, and lack of recent oral intake. However, there are no immediate signs of hemodynamic instability, such as hypotension or tachycardia, suggesting that dehydration is not the most pressing concern at this moment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Take the medication and then lay down for 30 min. Doxycycline can cause esophageal irritation and ulceration if not taken properly. Clients should remain upright for at least 30 minutes after taking the medication to reduce the risk of esophagitis. Lying down immediately after ingestion increases this risk.
B. Take the medication with an antacid. Antacids containing aluminum, calcium, or magnesium can interfere with doxycycline absorption, reducing its effectiveness. Clients should avoid taking antacids within 1 to 2 hours of doxycycline administration.
C. Take the medication with calcium-fortified orange juice. Calcium interferes with the absorption of doxycycline, potentially decreasing its effectiveness. Clients should avoid dairy products and calcium-rich foods or beverages when taking this medication.
D. Take the medication with crackers. Taking doxycycline with food, such as crackers or a light snack, can help reduce gastrointestinal discomfort without significantly affecting its absorption. Although doxycycline is best absorbed on an empty stomach, taking it with a small amount of food can help minimize nausea and vomiting.
Correct Answer is B
Explanation
A. "Same-sex activity is less risky during pregnancy than male-female intercourse." Sexual activity of any kind can pose potential risks, such as vaginal irritation, pressure on the abdomen, or infection transmission if proper hygiene is not maintained. While pregnancy risks associated with semen exposure do not apply in a same-sex relationship, safety considerations remain important.
B. "There are some modifications that can increase the safety of sexual activity during your pregnancy." Sexual activity is generally safe during pregnancy, but adjustments may be necessary to ensure comfort and reduce potential risks. As the pregnancy progresses, certain positions may need to be changed to avoid pressure on the abdomen. If complications such as placenta previa or a history of preterm labor are present, additional precautions may be recommended.
C. "Most people find that pregnancy significantly decreases their desire for sexual activity." Sexual desire during pregnancy varies among individuals. Some may experience a decrease due to hormonal changes, nausea, or fatigue, while others may have an increased desire for sexual activity.
D. "Since you are monogamous there are no risks related to sexual activity during your pregnancy." A monogamous relationship reduces the risk of sexually transmitted infections but does not eliminate other potential concerns. Vaginal irritation, complications related to certain pregnancy conditions, or discomfort due to physical changes can still occur, making it important to discuss any concerns with a healthcare provider.
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