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?
Increased fetal movement.
Headache and blurred vision.
Epigastric pain.
Low back pain with pelvic cramping.
The Correct Answer is D
Choice D rationale
Low back pain with pelvic cramping can indicate complications such as premature labor or an infection after an amniocentesis.
Choice A rationale
Increased fetal movement is not typically a sign of complications following amniocentesis and may be a normal finding.
Choice B rationale
Headache and blurred vision are concerning symptoms but are not directly related to amniocentesis complications.
Choice C rationale
Epigastric pain can be a sign of other issues, such as preeclampsia, but not specifically related to amniocentesis complications. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Palpating the suprapubic area to assess fetal head position is not relevant to identifying the source of fluid leakage. This technique is used to evaluate fetal engagement in the pelvis, particularly near term, but it does not help in determining whether the fluid leakage is amniotic fluid or urine.
Choice B rationale
Scanning the bladder for urinary retention is unrelated to identifying the nature of fluid leakage. A bladder scan is useful for detecting residual urine volume in the bladder, often post-voiding, and is typically used in cases of urinary retention or post-operative care.
Choice C rationale
Testing the fluid with a nitrazine strip is a standard method to distinguish amniotic fluid from urine or vaginal secretions. Amniotic fluid has a higher pH (usually between 7.0 and 7.5), causing the nitrazine strip to turn blue, whereas urine and vaginal secretions usually have a lower pH, resulting in a yellow or green color on the strip.
Choice D rationale
Inserting a straight urinary catheter to drain the bladder is an invasive procedure that does not directly identify the source of fluid leakage. This technique is typically used to relieve urinary retention or to collect a sterile urine specimen, not for diagnosing amniotic fluid leakage.
Correct Answer is B
Explanation
Choice A rationale
Latanoprost eye drops are used to reduce intraocular pressure in glaucoma patients and are not relevant for a newborn exposed to Neisseria gonorrhoeae.
Choice B rationale
Erythromycin ointment is the correct medication to administer to a newborn exposed to Neisseria gonorrhoeae. It is used to prevent ophthalmia neonatorum, an eye infection caused by the bacteria. Administering erythromycin ointment is essential to protect the newborn's eyes from potential blindness or severe infection.
Choice C rationale
Tetracaine eye drops are a topical anesthetic used to numb the eyes during procedures and are not indicated for preventing neonatal eye infections caused by Neisseria gonorrhoeae.
Choice D rationale
Neomycin ointment is an antibiotic used for treating bacterial infections, but it is not the standard treatment for preventing ophthalmia neonatorum in newborns exposed to Neisseria gonorrhoeae. Erythromycin ointment is the recommended prophylactic treatment. .
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