A client has severe preeclampsia. The nurse would expect the primary health care practitioner to order tests to assess the fetus for which of the following?

Correct Answer: D

Rationale: The correct answer is D: Intrauterine growth restriction (IUGR). In severe preeclampsia, there is a risk of placental insufficiency leading to reduced blood flow to the fetus, resulting in IUGR. The primary concern is monitoring the fetus's growth and well-being. A: Severe anemia is not typically a direct result of severe preeclampsia and is not a primary concern in this situation. B: Hypoprothrombinemia refers to a deficiency in blood clotting factors and is not directly related to fetal well-being in the context of severe preeclampsia. C: Craniosynostosis is a condition where the bones in an infant's skull fuse too early, which is a congenital issue and not typically related to preeclampsia. In summary, the primary concern in severe preeclampsia is assessing fetal growth and well-being due to placental insufficiency, making IUG

Correct Answer: C

Rationale: The correct answer is C because reclining will help improve blood flow to the placenta, increasing oxygen delivery to the baby. This is crucial in preeclampsia to prevent complications such as fetal growth restriction. A: Incorrect. Bed rest in preeclampsia is not primarily for energy conservation but to reduce blood pressure and prevent further complications. B: Incorrect. Bed rest does not directly address nausea and anorexia associated with preeclampsia; it focuses on maternal and fetal well-being. D: Incorrect. Position change does not directly prevent placental separation in preeclampsia; it is more related to maintaining adequate blood flow to the placenta.

Correct Answer: A

Rationale: Rationale: 1. Rh incompatibility occurs when the mother is Rh-negative and the father is Rh-positive. 2. If the father is homozygous for Rh factor (AA), all offspring will be Rh-positive. 3. The Rh-positive offspring from an Rh-negative mother can lead to Rh incompatibility. 4. Therefore, the infant of an Rh-negative mother and a father who is Rh positive and homozygous for the Rh factor is most likely to express Rh incompatibility. Summary: - Choice B is incorrect because both mother and infant are Rh-negative. - Choice C is incorrect because the father being heterozygous for the Rh factor would not result in all offspring being Rh-positive. - Choice D is incorrect as both mother and infant are Rh-positive, so there is no risk of Rh incompatibility.

Correct Answer: B

Rationale: The correct answer is B: Immature red blood cells. Erythroblastosis fetalis is a condition where maternal antibodies attack fetal red blood cells, leading to hemolysis and the release of immature red blood cells (erythroblasts) into the circulation. This can result in anemia and jaundice in the infant. Edema (choice A) is not a typical clinical finding in erythroblastosis fetalis. Enlargement of the heart (choice C) is more commonly associated with conditions like congestive heart failure. Ascites (choice D) is the accumulation of fluid in the abdominal cavity and is not a characteristic finding in erythroblastosis fetalis.

Correct Answer: B

Rationale: The correct answer is B: Maternal folic acid deficiency. Folic acid is essential for neural tube closure. Deficiency can lead to neural tube defects in the fetus. Maternal diabetes (choice A) can increase the risk, but it's not the primary factor. Socioeconomic status (choice C) may indirectly impact nutrition but isn't directly related to neural tube closure. Maternal use of anticonvulsants (choice D) can increase the risk, but it's not as significant as folic acid deficiency in neural tube closure.