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.

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.

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.

Correct Answer: C

Rationale: The correct answer is C: rubella. Rubella is a TORCH infection that can be spread through respiratory droplets. It can cause congenital heart defects, cataracts, deafness, and central nervous system abnormalities in infants if the mother is infected during pregnancy. Rubella is known to have teratogenic effects on the developing fetus. Toxoplasmosis (A) is transmitted through ingestion of contaminated food or water, not respiratory droplets. Syphilis (B) is primarily sexually transmitted or through vertical transmission during pregnancy. Cytomegalovirus (D) is typically transmitted through bodily fluids like saliva, blood, urine, and breast milk, not solely through respiratory droplets.

Correct Answer: C

Rationale: The correct answer is C: assessing for signs of vaginal bleeding. In placenta previa, the placenta covers the cervix, leading to potential bleeding. Assessing for vaginal bleeding is crucial to monitor the patient's condition and detect any signs of hemorrhage. Administering oxytocin (A) can increase bleeding and is contraindicated. Assisting with a vaginal delivery (B) can be dangerous due to the placental location. Performing a vaginal exam (D) can increase bleeding and should be avoided unless necessary for an emergency situation.