A nurse is assessing a client following an amniocentesis. Which of the following findings should the nurse recognize as complications? (Select all that apply).

Correct Answer: A

Rationale: The correct answer is A) Amnionitis. Amnionitis, also known as chorioamnionitis, is a serious complication following an amniocentesis characterized by infection of the amniotic fluid. This condition can lead to maternal and fetal complications, making it crucial for the nurse to recognize and address promptly. Option B) Urinary tract infection is incorrect because it is not directly related to the amniocentesis procedure. While urinary tract infections are common in pregnancy, they are not a known complication of amniocentesis. Option C) Polyhydramnios is also incorrect as it refers to an excessive accumulation of amniotic fluid in the gestational sac, which is generally not associated with amniocentesis. Option D) Leakage of amniotic fluid is a potential immediate complication of amniocentesis, but it is not a recognized finding to be assessed post-procedure for complications related to infection like amnionitis. In the field of maternal newborn nursing, recognizing complications following procedures like amniocentesis is crucial for ensuring the well-being of both the mother and the fetus. Understanding these potential complications allows nurses to provide timely interventions and prevent further health issues.

Correct Answer: D

Rationale: Blurred vision is a potential prenatal complication during the third trimester of pregnancy and can be a sign of conditions such as preeclampsia or gestational diabetes. It is important for the nurse to further assess this finding and consult with the healthcare provider to ensure appropriate management and monitoring of the client's condition. Periodic tingling of fingers, absence of clonus, and leg cramps are common discomforts during pregnancy and do not typically indicate a prenatal complication.

Correct Answer: C

Rationale: The major barrier to health care for adolescent mothers is seeing a different nurse and/or health care provider at every visit. Continuity of care is crucial for adolescent mothers as they need consistent support and guidance throughout their pregnancy and postpartum period. When they see different healthcare providers at each visit, it can lead to fragmented care, lack of trust in the healthcare system, and hinder the establishment of a therapeutic relationship. This barrier can impact the quality of care received and ultimately affect the health outcomes for both the adolescent mother and her baby.

Correct Answer: B

Rationale: 1. Cleft lip and palate: Parents of a newborn with a cleft lip and palate may face challenges related to feeding difficulties, speech development issues, and concerns about their child's appearance. These issues can require additional medical interventions and support, leading to long-term parenting stress and psychological strain.

Correct Answer: C

Rationale: The age group of 14 to 25 years is considered the highest risk group for gonorrhea, making it important to discuss this with parents during discharge. This age range includes adolescents and young adults who are more likely to engage in risky sexual behaviors and therefore have a higher chance of contracting sexually transmitted infections like gonorrhea. Educating parents about this risk group can help them be more aware and take steps to protect their child as they grow older.