The home health nurse is assessing a 17-year-old pregnant client at 34 weeks of gestation who has been diagnosed with preeclampsia. Upon assessment, the nurse finds that the client has gained 2 pounds in the past week and her blood pressure is 144/92 mmHg. Which assessment finding would require further action by the nurse?

Visual disturbances

Frequent voiding in large amounts

1+ pedal edema

One headache in the past week

Answer and Explanation

The Correct Answer is A

Visual disturbances would require further action by the nurse as they can be a sign of worsening preeclampsia and a potential indication for immediate medical attention. The client's recent weight gain and elevated blood pressure are also concerning findings, but visual disturbances are a more urgent symptom. Frequent voiding in large amounts and 1+ pedal edema are common in pregnancy, while one headache in the past week may or may not be significant depending on the context.

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Correct Answer is D

Explanation

It is recommended for all diabetic women of childbearing age. (This statement is not entirely accurate as preconception care is recommended specifically for women with diabetes who are considering pregnancy, not all women of childbearing age.)

A. The disorder occurs in males and heterozygous females. B. The disorder is carried on the X chromosome. C. Both genes of a pair must be abnormal for the disorder to be expressed. D. Only one copy of the abnormal gene is required for the disorder to be expressed.

Correct Answer is C

Explanation

Both genes of a pair must be abnormal for the disorder to be expressed. In autosomal recessive inheritance, the gene for the disorder is located on an autosome (any chromosome other than a sex chromosome) and a person must inherit two copies of the abnormal gene (one from each parent) in order for the disorder to be expressed. If a person inherits only one copy of the abnormal gene, they are a carrier of the disorder but do not typically show symptoms.

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Naxlex Comprehensive Predictor Exams

A 25-year-old woman with Type II Diabetes Mellitus should be educated on all the following regarding preconception care, except:

Correct Answer is D

Explanation

The nurse is assessing the knowledge of new parents with a child born with maple syrup urine disease (MSUD). This is an autosomal recessive inherited disorder, which means that:

Correct Answer is C

Explanation

Which of the following examples best demonstrates a public health nurse working upstream?

For clinical purposes, the most accurate definition of preterm and post-term infants is defined as what?

Which client is displaying health literacy at the basic functional level?

The nurse is providing education for a patient who has been newly diagnosed with a placenta previa at 37 weeks' gestation. The nurse understands that teaching has not been effective when the patient states:

In caring for the woman with disseminated intravascular coagulation (DIC), which order should the nurse anticipate?

The most prevalent clinical manifestation of abruptio placentae (as opposed to placenta previa) is:

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During labor a fetus with an average heart rate of 135 beats/min over a 10-minute period would be considered to have: