The client is at risk for developing which of the following 2 complications?

Select 2 complications the client is at risk for developing.

Sepsis

Placenta previa

Disseminated intravascular coagulation

Preeclampsia

Preterm prelabor rupture of membranes (PROM)

Seizures

Answer and Explanation

Correct Answer : A,E

A.   Sepsis
Sepsis is a systemic infection that can occur during pregnancy, particularly if there is an infection such as chorioamnionitis (infection of the amniotic sac) or endometritis (infection of the uterine lining). The client's fever (38.4°C) could be indicative of infection, which is a risk factor for sepsis.
B.   Placenta Previa
Placenta previa occurs when the placenta implants in the lower part of the uterus, covering the cervix. This can cause vaginal bleeding and may lead to complications during labor. However, this is not related to the client's current symptoms.
C.   Disseminated Intravascular Coagulation (DIC)
DIC is a serious condition that can occur due to pregnancy complications like abruptio placentae, infection, or severe preeclampsia. However, the client’s symptoms do not indicate bleeding, bruising, or other signs of DIC. The client's blood pressure (130/78) is normal, and there are no indications of placental abruption.
D.   Preeclampsia
Preeclampsia is characterized by hypertension and proteinuria. The client’s blood pressure (130/78) is normal, and there are no signs of significant swelling or other symptoms commonly associated with preeclampsia.
E.   Preterm Premature Rupture of Membranes (PPROM)
PPROM is the rupture of the membranes (amniotic sac) before 37 weeks gestation, leading to the risk of infection, preterm labor, and other complications. While the client’s membranes are intact at this time, preterm labor at 33 weeks is a risk factor for PPROM.
F.   Seizures
Seizures in pregnancy are most commonly seen in conditions like eclampsia, which is a complication of preeclampsia. However, the client does not have the signs of preeclampsia (high blood pressure, proteinuria, edema) that typically lead to eclampsia.

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Correct Answer is C

Explanation

A. The baby should be allowed to nurse on the first breast until it is fully emptied before switching to the other breast.
B. The baby should be encouraged to start on the opposite breast during each feeding to ensure both breasts are stimulated and emptied properly.
C. Frequent breastfeeding and sucking stimulate milk production, as supply increases in response to demand.
D. Manual expression can actually increase milk supply, not decrease it, by stimulating milk production.

A. Frequent swallowing B. Increased drowsiness C. Elevated pain level D. Diminished breath sounds

Correct Answer is A

Explanation

A. Frequent swallowing can indicate bleeding post-tonsillectomy, as the child may be swallowing blood from the surgical site.
B. Increased drowsiness is common following surgery, but it is not typically associated with hemorrhage.
C. Elevated pain levels are expected after tonsillectomy and do not necessarily indicate hemorrhage.
D. Diminished breath sounds are not typically associated with hemorrhage but may indicate a respiratory issue.

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The client is at risk for developing which of the following 2 complications? Select 2 complications the client is at risk for developing.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is A

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Select 2 complications the client is at risk for developing.