Which preexisting condition necessitates a cesarean birth?

Questions 22

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Complications of antenatal care Questions

Question 1 of 5

Which preexisting condition necessitates a cesarean birth?

Correct Answer: D

Rationale: The correct answer is D: Active genital herpes. This condition can be transmitted to the baby during a vaginal birth, leading to serious complications. Cesarean birth is recommended to prevent transmission. Gonorrhea (A) and Chlamydia (B) can be treated with antibiotics and do not typically require a cesarean birth. Chronic hepatitis (C) does not necessarily require a cesarean birth unless there are other complicating factors.

Question 2 of 5

Why is it important for the nurse to encourage a client with preeclampsia to lie in the left-lateral recumbent position?

Correct Answer: A

Rationale: The correct answer is A because lying in the left-lateral recumbent position helps maximize uterine and kidney perfusion by improving blood flow to these organs. By lying on the left side, the weight of the uterus is shifted off the major vessels, reducing compression and allowing for better circulation. This position also helps in relieving pressure on the inferior vena cava, promoting venous return and cardiac output. Choices B, C, and D are incorrect because they do not address the specific physiological benefits associated with the left-lateral recumbent position in the context of preeclampsia.

Question 3 of 5

A pregnant person at which age is at increased risk during pregnancy? Select all that apply.

Correct Answer: A,D

Rationale: The correct answers are A and D. At 18, there is an increased risk of complications due to the mother's physical immaturity. At 35, the risk increases due to advanced maternal age, associated with higher chances of chromosomal abnormalities. Choices B and C are less risky age groups compared to A and D.

Question 4 of 5

What should nurses do to support migrant farm workers receiving prenatal care?

Correct Answer: C

Rationale: Correct Answer: C Rationale: 1. Evaluate occupational hazards: Nurses should identify potential risks faced by migrant farm workers during pregnancy. 2. Provide education: Nurses should educate on how to minimize exposure to hazards. 3. This approach promotes a safe prenatal environment for both the mother and the baby. Summary: A. Offering medication without proper assessment can be harmful. B. Heavy lifting can increase the risk of complications and should be avoided. D. Referring all patients for mental health resources may not address the specific needs of migrant farm workers.

Question 5 of 5

A pregnant person is admitted with preeclampsia. Identify the data most often associated with this condition.

Correct Answer: B

Rationale: The correct answer is B: BP 152/99. In preeclampsia, high blood pressure is a hallmark sign due to systemic vasoconstriction. This can lead to complications for both the pregnant individual and the fetus. Dependent edema (A) is a common symptom but not specific to preeclampsia. Fatigue (C) can occur in pregnancy but is not a defining feature of preeclampsia. Nausea, vomiting, and weight loss (D) are not typical symptoms of preeclampsia; rather, weight gain and fluid retention are more common.

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