The labor of a pregnant teenager with preeclampsia is going to be induced. Before initiating the Oxytocin infusion, the nurse reviews the woman's latest laboratory test findings, which reveal a platelet count of 80,000, an elevated aspartate transaminase (AST) level (250 U/L), and falling hemoglobin from 14 to 11 g/dl. The nurse notifies the physician because the laboratory results are indicative of
Select one:
Idiopathic thrombocytopenia.
Disseminated intravascular coagulation (DIC).
HELLP syndrome.
Eclampsia.
Eclampsia.
The Correct Answer is C
a. Idiopathic thrombocytopenia is a condition characterized by a low platelet count without an identifiable cause, which is not the case in this scenario.
b. Disseminated intravascular coagulation (DIC) is a condition characterized by widespread activation of the clotting system, which is not the case in this scenario.
c. HELLP syndrome is a serious complication of preeclampsia characterized by hemolysis, elevated liver enzymes, and low platelet count.
d. Eclampsia is a severe complication of preeclampsia characterized by seizures, which is not the case in this scenario.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
a. This is not the purpose of maternal serum alpha-fetoprotein testing.
b. Maternal serum alpha-fetoprotein testing is used to screen for neural tube defects and other spinal defects in the fetus.
c. This is not the purpose of maternal serum alpha-fetoprotein testing.
d. This is not the purpose of maternal serum alpha-fetoprotein testing.
Correct Answer is C
Explanation
a. This may be done if the fetal heart rate (FHR) tracing is not clear, but it is not the first priority in this situation.
b. Early decelerations can indicate fetal head compression and is a normal finding hence there is no need of notifying the healthcare provider.
c. One of the FHR patterns that may be observed is early decelerations, which are symmetrical decreases in FHR that coincide with uterine contractions. Early decelerations are usually benign and reflect fetal head compression during contractions. The nurse's first priority in this case is to document as a normal finding and continue to monitor the FHR and uterine activity.
d. This may help relieve pressure on the fetal head and improve FHR, but it is not the first priority in this situation.
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