Signs and symptoms of preeclampsia with severe features include (Select all that apply):

Elevated liver function tests

Unremitting headache

Rising protein in sequential 24-hour urine

Increased urine output

Pain in the left upper quadrant

BP > 160/110

Answer and Explanation

Correct Answer : A,B,C,E,F

Choice A: Elevated liver function tests indicate liver damage, which is a complication of preeclampsia with severe features.

Choice B: Unremitting headache is a sign of increased intracranial pressure, which can result from cerebral edema or hemorrhage caused by preeclampsia with severe features.

Choice C: Rising protein in sequential 24-hour urine reflects the degree of glomerular damage and renal impairment caused by preeclampsia with severe features.

Choice D: Increased urine output is not a sign of preeclampsia with severe features. In fact, oliguria (decreased urine output) may occur due to reduced renal perfusion and acute kidney injury.

Choice E: Pain in the left upper quadrant is a sign of splenic rupture or subcapsular hematoma, which are rare but life-threatening complications of preeclampsia with severe features.

Choice F: BP > 160/110 is one of the diagnostic criteria for preeclampsia with severe features, as it indicates severe hypertension and increased risk of maternal and fetal complications.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is B

Explanation

Choice A reason: This is not the most concerning vital sign because a heart rate of 99 is within the normal range for an adult. The nurse should monitor the patient's heart rate and rhythm, but it is not a sign of magnesium toxicity or adverse effects.

Choice B reason: This is the most concerning vital sign because a respiratory rate of 9 is below the normal range for an adult and indicates respiratory depression, which is a sign of magnesium toxicity. The nurse should stop the infusion, notify the provider, and prepare to administer calcium gluconate as an antidotE.

Choice C reason: This is not the most concerning vital sign because a BP of 99/69 is within the normal range for an adult. The nurse should monitor the patient's blood pressure and fluid status, but it is not a sign of magnesium toxicity or adverse effects.

Choice D reason: This is not the most concerning vital sign because a temperature of 99.9 is within the normal range for an adult. The nurse should monitor the patient's temperature and infection signs, but it is not a sign of magnesium toxicity or adverse effects.

A. The purpose of this medication is to stop preterm labor contractions. B. The purpose of this medication is to increase the fetal heart ratE. C. The purpose of this medication is to halt cervical dilation. D. The purpose of this medication is to boost fetal lung maturity.

Correct Answer is D

Explanation

Choice A: The purpose of this medication is to stop preterm labor contractions is not a correct statement, as betamethasone is not a tocolytic agent that inhibits uterine activity. Betamethasone is a corticosteroid that enhances the production of surfactant and reduces the risk of respiratory distress syndrome in preterm infants.

Choice B: The purpose of this medication is to increase the fetal heart rate is not a correct statement, as betamethasone does not have a direct effect on the fetal heart ratE. Betamethasone may cause maternal tachycardia as a side effect, but it does not affect the fetal cardiac function.

Choice C: The purpose of this medication is to halt cervical dilation is not a correct statement, as betamethasone does not have an effect on the cervical ripening or effacement. Betamethasone is given to improve the fetal outcomes in case of preterm delivery, but it does not prevent or delay the labor process.

Choice D: The purpose of this medication is to boost fetal lung maturity is a correct statement, as betamethasone is a corticosteroid that stimulates the synthesis of surfactant and accelerates the maturation of the fetal lungs. Betamethasone is given to reduce the incidence and severity of respiratory distress syndrome and other neonatal complications in preterm infants.

View Question and Answer

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

Signs and symptoms of preeclampsia with severe features include (Select all that apply):

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Your patient is receiving magnesium sulfate for neuroprotection and preterm labor at 1 gram/hour. The most concerning vital sign below is:

Correct Answer is B

Explanation

A nurse is assisting with the admission of a client who is in preterm labor at 30 weeks of gestation and has a new prescription for betamethasonE. Which of the following statements should the nurse make? (Select onE.:

Correct Answer is D

Explanation

A nurse is assisting in the care of a newborn immediately following birtH. The nurse notes mucus bubbling out of the newborn's mouth and nosE. Which of the following actions should the nurse take first? (Select onE.:

A nurse is caring for a client who is breastfeeding and tells the nurse that she is concerned about her newborn's hydration. Which of the following nursing observations is appropriate to use in evaluating the adequacy of the newborn's hydration?

A nurse is caring for a client who is 1 day postpartum following a cesarean birtH. To prevent thrombophlebitis, the nurse should include which of the following interventions in the client's plan of care? (Select onE.:

A nurse is caring for a client who has unrelieved episiotomy pain 8 hours following delivery. Which of the following actions should the nurse take? (Select onE.:

A nurse is assisting in the care of a client who had a vaginal birth 2 hours ago. Which of the following actions should the nurse take? (Select all that apply):

A nurse is assisting with the care of a client who is experiencing preterm labor and is scheduled to undergo amniocentesis for L/S ratio. The client needs an amniocentesis to determine which of the following findings?

A nurse is assisting with the care of a client who is in the first stage of labor. The nurse observes the umbilical cord protruding from the vagin

A nurse is assisting in the care of a client who is in labor. The doctor documents the vaginal examination as: 3 cm, 30%, and -1. The nurse evaluates this documentation to mean which of the following?