In caring for an immediate postpartum client, you note petechiae and oozing from her IV site. What information, in her history would make you suspect Disseminated Intravascular Coagulation.
She experienced an abruptio placenta and pre eclampsia with her labor.
She had a 4100 gm baby.
This is her 5th child.
She had hyperemesis gravidarium her first trimester.
The Correct Answer is A
A. Abruptio placenta and preeclampsia are risk factors for DIC, a serious complication that can lead to bleeding and clotting issues, including petechiae and oozing from IV sites.
B. A 4100 gm baby (large baby) is not a risk factor for DIC in the immediate postpartum period.
C. Having five children does not increase the risk for DIC.
D. Hyperemesis gravidarum is not related to the development of DIC.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Transient tachypnea of the newborn (TTN) is a common condition in full-term infants, particularly those born via C-section, and is characterized by rapid breathing (tachypnea), nasal flaring, and mild respiratory distress within the first few hours after birth. The condition typically resolves within 48-72 hours.
B. Respiratory distress syndrome (RDS) usually occurs in premature infants, and the symptoms described do not match this condition.
C. Meconium aspiration syndrome is usually associated with meconium-stained amniotic fluid and typically presents with more severe respiratory distress and other signs of obstruction.
D. A tracheoesophageal fistula would present with more severe respiratory symptoms, such as choking and coughing, and is not typically characterized by tachypnea alone.
Correct Answer is C
Explanation
A. While positioning the patient in a knee-chest position may help, the immediate priority is to relieve pressure on the cord.
B. Administering oxygen is important but does not address the primary issue of cord compression.
C. The number one priority in managing a prolapsed cord is to relieve pressure on the cord and prevent fetal hypoxia. The nurse should manually elevate the presenting part of the fetus to reduce cord compression.
D. Obtaining consent for a C-section is important but not the immediate priority in managing a prolapsed cord.
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