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.

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Correct Answer is D

Explanation

A. This is a cephalhematoma, which will resolve on its own in 3 to 5 days. B. This is erythema toxicum, which is a transient allergic reaction that causes edema in the skin. C. This is a caput succedaneum, which is a collection of fluid from pressure of the vacuum extractor. D. This is a Mongolian spot, which is found on many newborns.

Correct Answer is C

Explanation

Choice A reason: This is not the correct response because a cephalhematoma is a collection of blood under the periosteum of the skull that does not cross the suture linE. It usually takes several weeks to months to resolvE.

Choice B reason: This is not the correct response because erythema toxicum is a benign rash that appears as red macules or papules with white or yellow centers. It does not cause swelling on the head and can occur anywhere on the body.

Choice C reason: This is the correct response because a caput succedaneum is a collection of fluid under the scalp that crosses the suture linE. It is caused by pressure from the vacuum extractor or the birth canal. It usually resolves within a few days.

Choice D reason: This is not the correct response because a Mongolian spot is a bluish-gray or brown patch of pigmentation that is usually found on the lower back or buttocks. It does not cause swelling on the head and is not related to the mode of delivery.

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a newborn immediately following delivery. Which of the following actions should be the nurse's priority in the resuscitation of this neonate?

Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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