Nokea
Which of the following is a potential complication of maternal hypertension during pregnancy?
- A. Placental abruption
- B. Fetal growth restriction
- C. Preterm labor
- D. All of the above
Correct Answer: D
Rationale: Maternal hypertension can lead to placental abruption, fetal growth restriction, and preterm labor.
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A nurse in a provider’s office is caring for a 20-year-old client who is at 12 weeks of gestation and requests an amniocentesis to determine the sex of the fetus. Which of the following responses should the nurse make?
- A. You cannot have an amniocentesis until you are at least 35 years of age.
- B. This procedure determines if your baby has genetic or congenital disorders.
- C. Your provider will schedule a chorionic villus sampling to determine the sex of your baby.
- D. We can schedule the procedure for later today if you’d like.
Correct Answer: B
Rationale: The correct response is B: This procedure determines if your baby has genetic or congenital disorders. Amniocentesis is a diagnostic test that involves taking a sample of the amniotic fluid, which can be analyzed for genetic abnormalities like Down syndrome. It is typically performed between 15-20 weeks of gestation, not based on maternal age. Choice A is incorrect as there is no age requirement for amniocentesis. Choice C is incorrect as chorionic villus sampling is a different procedure used for genetic testing earlier in pregnancy. Choice D is incorrect as amniocentesis is a planned procedure that requires preparation and scheduling, not something to be done on the same day.
A nurse is assessing a client who is 3 days postpartum. Which of the following findings should the nurse report to the provider?
- A. Cool, clammy skin
- B. Moderate lochia serosa
- C. Heart rate 89/min
- D. BP 120/70 mm Hg
Correct Answer: A
Rationale: The correct answer is A: Cool, clammy skin. This finding could indicate hypovolemic shock, a serious complication postpartum. The nurse should report this to the provider immediately for further assessment and intervention. Choice B, moderate lochia serosa, is a normal finding 3 days postpartum. Choice C, heart rate 89/min, and choice D, BP 120/70 mm Hg, are within normal limits for a postpartum client and do not require immediate reporting.
A nurse is assessing a client who is at 30 weeks of gestation during a routine prenatal visit. Which of the following findings should the nurse report to the provider?
- A. Swelling of the face
- B. Varicose veins in the calves
- C. Nonpitting 1+ ankle edema
- D. Hyperpigmentation of the cheeks
Correct Answer: A
Rationale: The correct answer is A: Swelling of the face. This finding could indicate a serious condition like preeclampsia, which is characterized by hypertension and proteinuria and poses a risk to both the mother and baby. Swelling of the face is a significant sign that warrants immediate reporting to the provider for further evaluation and management. Varicose veins in the calves (B) and nonpitting 1+ ankle edema (C) are common in pregnancy and usually not concerning at this stage. Hyperpigmentation of the cheeks (D) is also a common finding known as melasma and does not require immediate reporting.
What is the recommended method of screening for gestational diabetes?
- A. Random blood glucose test
- B. Fasting blood glucose test
- C. Oral glucose tolerance test
- D. Hemoglobin A1C test
Correct Answer: C
Rationale: The correct answer is C: Oral glucose tolerance test. This test involves fasting overnight, then drinking a sugary solution and measuring blood glucose levels at intervals. It is the gold standard for diagnosing gestational diabetes due to its ability to detect glucose intolerance. A: Random blood glucose test is not recommended as it may not provide an accurate assessment. B: Fasting blood glucose test alone may miss cases of gestational diabetes. D: Hemoglobin A1C test is not recommended for diagnosing gestational diabetes.
A nurse in a clinic is caring for a 16-year-old adolescent. Which of the following findings should the nurse report to the provider? (Select all that apply.)
- A. Abdominal assessment
- B. Vaginal discharge
- C. Heart rate
- D. Temperature
- E. Dyspareunia
- F. Condom usage
Correct Answer: A,B,D,E,F
Rationale: The correct findings to report to the provider are A, B, D, E, and F. Abdominal assessment (A) is important to assess for any underlying issues. Vaginal discharge (B) could indicate infection. Temperature (D) may suggest infection or illness. Dyspareunia (E) could indicate underlying gynecological issues. Condom usage (F) is important for assessing sexual activity and risk. Heart rate (C) is a normal vital sign and doesn't necessarily require immediate reporting.