Pregnancy, Labour, Childbirth, Postpartum - At-Risk Level 1 Questions & Answers 2022/2023

Pregnancy, Labour, Childbirth, Postpartum - At-Risk Level 1 Questions & Answers 2022/2023 While mopping the kitchen floor, a client at 37 weeks' gestation experiences a sudden sharp pain in her abdomen with a period of fetal hyperactivity. When the client arrives at the prenatal clinic, the nurse examines her and detects fundal tenderness and a small amount of dark-red bleeding. What does the nurse conclude is the probable cause of these clinical manifestations? a. true labor b. Placenta previa c. Partial abruptio placentae d. Abdominal muscular injury - ANS-c. Partial abruptio placentae Typical manifestations of abruptio placentae are sudden sharp localized pain and small amounts of dark-red bleeding caused by some degree of placental separation. True labor begins with regular contractions, not sharp localized pain. There is no pain with placenta previa, just the presence of bright-red bleeding. There are no data to indicate that the client sustained an injury. A client is receiving magnesium sulfate therapy for severe preeclampsia. What initial sign of toxicity should prompt the nurse to intervene? a. Hyperactive sensorium b.cIncrease in respiratory rate c. Lack of the knee-jerk reflex d. Development of a cardiac dysrhythmia - ANS-c.Lack of the knee-jerk reflex Magnesium sulfate has a depressant effect on the central nervous system; therefore a toxic level will be reflected by the loss of the knee-jerk reflex. The level of consciousness is decreased with excessive magnesium sulfate. There is a deceleration in the respiratory rate with magnesium sulfate toxicity. Development of a cardiac dysrhythmia may be caused by increased potassium, not magnesium sulfate. A client in the birthing suite has spontaneous rupture of the membranes, after which a prolapsed cord is identified. The nurse calls for help and with a sterile gloved hand moves the fetal head off the cord. What should the nurse anticipate? A. Cesarean birth B. Prolonged labor C. Rapidly induced labor D. Vacuum extraction vaginal birth - ANS-A. Cesarean birth Immediate birth is necessary to prevent fetal hypoxia and death. Allowing a prolonged labor, inducing labor, or using vacuum extraction in a vaginal birth will increase pressure on the cord, resulting in fetal hypoxia...