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.

Answer and Explanation

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.

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Correct Answer is ["A","C","E"]

Explanation

a. Terbutaline is a beta-agonist that can be used to relax the uterus and delay delivery in preterm labor.
b. Oxytocin is a hormone that is used to induce labor and is not typically used in preterm labor.
c. Indomethacin is a nonsteroidal anti-inflammatory drug (NSAID) that can be used to decrease uterine contractions in preterm labor.
d. Misoprostol is a prostaglandin E1 (PGE1) analog that is used for cervical ripening and is not typically used in preterm labor.
e. Magnesium sulfate is a tocolytic agent that can be used to relax the uterus and delay delivery in preterm labor.

A. Blood pressure control. B. Intestinal motility C. c Follicle growing and maturation. D. Insulin secretion.

Correct Answer is C

Explanation

a. GnRH does not directly affect blood pressure control.
b. GnRH does not directly affect intestinal motility.
c. GnRH is a hormone that stimulates the release of follicle-stimulating hormone (FSH) and luteinizing hormone (LH), which are involved in follicle growth and maturation in the ovaries.
d. GnRH does not directly affect insulin secretion.

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Naxlex Comprehensive Predictor Exams

A nurse is admitting a client who has a diagnosis of preterm labor. The nurse anticipal a prescription by the provider for which of the following medications? (Select all that apply.)

Correct Answer is ["A","C","E"]

Explanation

The nurse is reviewing the laboratory results of a patient and notes that the patient has low levels of gonadotropin-releasing hormone (GnRH). Which physiologic process would be highly affected in the patient?

Correct Answer is C

Explanation

A nurse is caring for a client who is at 39 weeks of gestation and is in active labor. The nurse locates the fetal heart tones above the client's umbilicus, at the midline. The nurse should suspect that the fetus is in which of the following presentation?

A nurse is caring for a client who is in labor. Which of the following nursing actions reflects the application of the Gate control theory of pain?

A nurse is caring for an adolescent client who is gravida 1 and para 0. The client was admitted to the hospital at 38 weeks of gestation with a diagnosis of preeclampsia. Which of the following findings should the nurse identify as inconsistent with preeclampsia?

A nurse is planning to teach couples about the physiology of the sex act. What correct information will the nurse provide? Select one:

A 37 weeks pregnant female reports to the nurse that she is sleeping in a supine position and feels dizzy after waking up in the morning. What advice does the nurse give to the patient? Select one:

Which finding on a prenatal visit at 12 weeks could suggest a hydatidiform mole (molar pregnancy)? Select one:

A 22-year-old woman pregnant with a single fetus has a preconception body mass index (BMI) of 19. When she was seen in the clinic at 33 weeks of gestation, she had gained 4 lbs in the first trimester. What should be the expected weight gain at this pregnancy time?