Following an amniocentesis, a client verbalizes several concerns. Which reported finding indicates to the nurse that the client is experiencing a complication from the amniocentesis?

Low back pain with pelvic cramping.

Headache and blurred vision.

Increased fetal movement.

Epigastric pain.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Low back pain and pelvic cramping after amniocentesis can indicate complications such as premature labor or infection, which requires immediate medical attention.

Choice B rationale

Headache and blurred vision are less indicative of complications from amniocentesis; these symptoms are more commonly associated with conditions like preeclampsia.

Choice C rationale

Increased fetal movement is not typically a complication of amniocentesis and does not directly relate to immediate maternal or fetal health concerns.

Choice D rationale

Epigastric pain is not a specific complication of amniocentesis; it is more commonly associated with gastrointestinal issues or, in severe cases, preeclampsia.

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Correct Answer is C

Explanation

Choice A rationale

Glucose water may be soothing due to the sweet taste, but it does not address the immediate need to protect the circumcision site from infection and aid in healing.

Choice B rationale

Liquid acetaminophen provides pain relief, but it does not address the immediate need to protect the circumcision site. Pain management alone is not sufficient for postoperative care.

Choice C rationale

Applying petrolatum gauze dressings on the site prevents the wound from sticking to the diaper, reduces irritation, and protects against infection, promoting healing. This is a priority intervention post-circumcision.

Choice D rationale

While keeping the infant warm is important for comfort and stability, it does not directly address the need to care for the circumcision site to prevent complications and promote healing.

A. Notify child protective services of the client’s illicit drug use and probable child endangerment. B. Praise the client for her actions and offer to discuss ways to decrease consumption even more. C. Refer the client to an outpatient alcohol abuse program for disulfiram therapy. D. Insist that the client stop all alcohol use and draw a blood alcohol level at each prenatal visit.

Correct Answer is B

Explanation

Choice A rationale

Notifying child protective services without further assessment may cause unnecessary distress and legal complications. The client's current alcohol use reduction efforts should be considered, and other interventions can be explored first.

Choice B rationale

Praising the client for reducing alcohol intake encourages positive behavior. Providing support and discussing ways to further decrease consumption promotes a collaborative approach to reducing alcohol exposure during pregnancy.

Choice C rationale

Disulfiram therapy is not suitable for pregnant clients due to potential risks. Instead, referral to an outpatient alcohol abuse program for counseling and support is more appropriate and safer for both mother and fetus.

Choice D rationale

Insisting on complete alcohol cessation without providing support may result in non-compliance. Drawing blood alcohol levels at each visit may cause anxiety and is not a practical approach for monitoring alcohol use in pregnancy.

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Following an amniocentesis, a client verbalizes several concerns. Which reported finding indicates to the nurse that the client is experiencing a complication from the amniocentesis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The parents of a male newborn have signed an informed consent for circumcision. Which priority intervention should the nurse implement upon completion of the circumcision?

Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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Which action should the nurse take?

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