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Exam 1: High Risk Antepartum NCLEX Questions & Correct Answers.

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Exam 1: High Risk Antepartum NCLEX Questions & Correct Answers. A nurse remarks to a 38 week gravid client, "It looks like your face and hands are swollen." The client responds, "Yes, you're right. Why do you ask?" The nurse's response is based on the fact that the changes may be caused by which...

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  • October 20, 2024
  • 20
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • High Risk Antepartum NCLEX
  • High Risk Antepartum NCLEX
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docmickey
Exam 1: High Risk Antepartum NCLEX
Questions & Correct Answers.
A nurse remarks to a 38 week gravid client, "It looks like your face and hands are
swollen." The client responds, "Yes, you're right. Why do you ask?" The nurse's
response is based on the fact that the changes may be caused by which of the
following?


a. altered glomerular filtration
b. cardiac failure
c. hepatic insufficiency
d. altered splenic circulation - Answer: a


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?


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,a. severe anemia
b. hypoprothrombinemia
c. craniosynostosis
d. intrauterine growth restriction - Answer: d


A gravid client with 4+ proteinuria and 4+ reflexes is admitted to the hospital. The
nurse must closely monitor the woman for which of the following?


a. grand mal seizure
b. high platelet count
c. explosive diarrhea
d. fractured pelvis - Answer: a


A client is admitted to the hospital with severe preeclampsia. The nurse is
assessing for clonus. Which of the following actions should the nurse perform?


a. strike the woman's patellar tendon
b. palpate the woman's ankle
c. dorsiflex the woman's foot
d. position the woman's feet flat on the floor - Answer: c


The nurse is grading a woman's reflexes. Which of the following grades would
indicate reflexes that are slightly brisker than normal?



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, a. +1
b. +2
c. +3
d. +4 - Answer: c


A 26 week gestation woman is diagnosed with severe preeclampsia with HELLP
syndrome. The nurse will assess for which of the following signs/symptoms?


a. low serum creatinine
b. high serum protein
c. bloody stools
d. epigastric pain - Answer: d


A patient, 32 weeks pregnant with severe headache, is admitted to the hospital
with preeclampsia. In addition to obtaining baseline vital signs and placing the
client on bed rest, the physician ordered the following four items. Which of the
orders should the nurse perform first?


a. assess deep tendon reflexes
b. obtain complete blood count
c. assess baseline weight
d. obtain routine urinalysis - Answer: a


A nurse is counseling a preeclamptic client about her diet. Which should the nurse
encourage the woman to do?

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