Question

The primary factor that differentiates eclampsia from preeclampsia is: Select one:

Answer 1

Correct Answers:

Convulsion (seizure).

Rationale :

🔴 The defining feature of eclampsia is the occurrence of seizures in a woman who has preeclampsia (characterized by hypertension and signs of organ involvement such as proteinuria or liver/renal dysfunction).

🔴 Preeclampsia becomes eclampsia when tonic-clonic seizures occur that cannot be attributed to other neurologic causes.

🔴 This is a life-threatening progression and demands immediate management with magnesium sulfate, airway protection, and emergency obstetric care.

🔴 While pulmonary edema, renal failure, and retinal changes can occur in both conditions, seizures are unique to eclampsia and mark the clinical transition between the two.

🔴 Rapid recognition and intervention are essential to prevent maternal and fetal morbidity and mortality.

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Answer 2

Correct Answers:

The violence will not stop or decrease if the woman becomes pregnant.

Rationale :

🔴 It is critical for nurses to emphasize that pregnancy does not protect against domestic violence—in fact, for many women, abuse begins or escalates during pregnancy.

🔴 This misconception can give survivors false hope, causing delayed safety planning or continued exposure to harm.

🔴 Studies show that intimate partner violence (IPV) can lead to poor maternal and fetal outcomes, including miscarriage, preterm labor, and low birth weight.

🔴 Nurses must focus on truthful, supportive education while validating the woman’s experience and empowering her to make informed, safe decisions.

🔴 This approach encourages awareness, planning, and utilization of resources, rather than relying on dangerous myths or minimizing the severity of abuse.

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Answer 3

Correct Answers:

Low-lying.

Rationale :

🟢 A low-lying placenta is when the placenta is implanted in the lower uterine segment but does not cover the cervical os, though it is close to it.

🟢 At 22 weeks' gestation, the lower uterine segment is still developing and stretching, which may cause the placenta to "migrate" upward as the uterus grows.

🟢 This type of previa often resolves on its own as pregnancy advances, reducing the risk for complications during delivery.

🟢 In contrast, complete previa covers the entire os, partial previa covers part of it, and marginal previa reaches the edge of the os—these types are less likely to resolve spontaneously.

🟢 Close monitoring via serial ultrasounds is essential to assess placental position changes.

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Answer 4

Correct Answers:

"The baby's sucking releases oxytocin which causes your uterus to contract."

Rationale :

🟢 During breastfeeding, nipple stimulation triggers the release of oxytocin from the posterior pituitary gland.

🟢 Oxytocin causes uterine contractions, which help the uterus return to its pre-pregnancy size—a process called involution.

🟢 These afterpains are common, especially in multiparous women, and may feel like cramp-like contractions during or shortly after nursing.

🟢 This is a normal and expected response and not usually indicative of complications like retained placenta, especially in the absence of abnormal bleeding or discharge.

🟢 Explaining this helps reassure the client and supports continued breastfeeding, which also reduces postpartum bleeding.

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Answer 5

Correct Answers:

Provide compassionate and accurate information throughout the process and support them to make their own decisions.

Rationale :

🟢 The most therapeutic and professional nursing approach is to offer empathetic communication, clear, accurate information, and nonjudgmental support to empower the couple in making informed decisions.

🟢 Couples facing infertility often experience emotional distress, grief, and confusion, so the nurse’s role is to guide, educate, and validate their experiences without directing their choices.

🟢 Encouraging autonomous decision-making supports their self-efficacy and maintains the nurse’s ethical role of advocacy without imposing personal bias.

🟢 Distractions, sympathy without structure, or unsolicited referrals can come across as dismissive or inappropriate, especially when the couple is seeking emotional and informational clarity.

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Answer 6

Correct Answers:

Vitamin K will promote blood clotting ability.

Rationale :

🟢 Newborns are born with low levels of vitamin K, which is essential for the activation of clotting factors II, VII, IX, and X—proteins necessary for normal blood coagulation.

🟢 This deficiency occurs because vitamin K does not cross the placenta efficiently, and the gut flora needed to synthesize it is not yet established in the newborn.

🟢 Without supplementation, infants are at risk for Vitamin K Deficiency Bleeding (VKDB), which can be life-threatening and may occur within the first few days to months of life.

🟢 A single intramuscular dose of vitamin K (usually 1 mg IM) is given at birth to prevent spontaneous internal or external bleeding, including dangerous intracranial hemorrhage.

🟢 It does not affect bilirubin metabolism, erythropoiesis, or Rh sensitization.

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Answer 7

Correct Answers:

With a sterile glove, maintaining pressure to lift the presenting part and emergently notifying the provider for a STAT C-section.

Rationale :

🔴 Feeling a loop of pulsating umbilical cord during a vaginal exam confirms a diagnosis of prolapsed cord, a life-threatening obstetric emergency.

🔴 The immediate and priority action is to use a sterile gloved hand to elevate the presenting fetal part off the cord, thereby restoring blood flow and oxygen to the fetus.

🔴 Simultaneously, the nurse must call for help and notify the provider immediately to prepare for an emergency cesarean delivery, which is the only definitive treatment.

🔴 While oxygen and positioning can help optimize maternal-fetal oxygenation, they do not replace manual relief of cord compression as the first action.

🔴 Delaying intervention can result in fetal hypoxia, acidosis, or death due to umbilical cord occlusion.

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Answer 8

Correct Answers:

The violence will not stop or decrease if the woman becomes pregnant.

Rationale :

🔴 One of the most dangerous myths surrounding intimate partner violence (IPV) is that pregnancy might stop the abuse.

🔴 In reality, pregnancy can escalate violence, increasing the risk of physical trauma, emotional abuse, and fetal complications.

🔴 It’s vital for nurses to emphasize this truth to help women make informed safety decisions and to dispel false hope that might delay their protective actions.

🔴 Abuse during pregnancy is associated with higher risks of miscarriage, preterm birth, and low birth weight, and may also impact maternal mental health long-term.

🔴 The nurse’s role includes offering support, validation, and accurate education, helping clients understand that abuse is a chronic pattern of control, not a temporary outburst.

🔴 Empowering women with factual knowledge supports safety planning and access to resources, such as shelters, legal aid, and counseling services.

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Answer 9

Correct Answers:

Macrocosmic fetus.

Rationale :

🟢 Pregnant teenagers are more commonly associated with low birth weight babies, not macrosomic (large for gestational age) fetuses, due to inadequate maternal nutrition and poor prenatal care.

🟢 Preeclampsia is a documented risk among adolescent pregnancies due to biological immaturity and possible vascular instability.

🟢 Cephalopelvic disproportion (CPD) may occur because teenagers often have underdeveloped pelvic bones, increasing the risk for obstructed labor or cesarean delivery.

🟢 Poor nutritional status is also a concern, as adolescents are still growing themselves and may compete with the fetus for nutrients, increasing the risk for intrauterine growth restriction (IUGR).

🟢 Macrosomia, on the other hand, is more commonly seen in older mothers, especially those with gestational diabetes.

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Answer 10

Correct Answers:

"A newborn's immune system isn’t mature, so symptoms are subtle and can be hard to recognize."

Rationale :

🟢 Newborns have immature immune systems, making their response to infection atypical and subtle compared to older children and adults.

🟢 They may not mount a strong fever, and instead display nonspecific signs like poor feeding, lethargy, hypothermia, or respiratory changes.

🟢 Educating parents with this accurate, non-judgmental explanation helps them understand why early signs of sepsis can be difficult to detect.

🟢 This response avoids blame, reinforces the need for close monitoring, and supports ongoing parental involvement in their infant’s care.

🟢 It also encourages them to remain vigilant for subtle changes, which is crucial in managing and preventing neonatal complications.

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QLexNursing

1 :
The primary factor that differentiates eclampsia from preeclampsia is: Select one:

2 :
The nurse at a shelter is counseling a group of women experiencing domestic violence. What is most important for the nurse to emphasize? Select one:

3 :
At 22 weeks' gestation, a client is diagnosed with placenta previa. The doctor tells the client that the placenta may move away from the cervix as the pregnancy progresses. This is classified as what type of previa?

4 :
A client who is breastfeeding her newborn tells the nurse, "l notice that when I feed him, I feel fairly strong contraction-like pain. Labor is over. Why am I having contractions now?' Which response by the nurse would be most appropriate? Select one:

5 :
A couple who has had difficulty conceiving confides in the nurse at the infertility clinic that they feel overwhelmed with the decisions that face them. Which of the following nursing strategies would be most appropriate and therapeutic? Select one:

6 :
The nurse administers vitamin K intramuscularly as prophylaxis to the newborn based on which of the following rationales? Select one:

7 :
The nurse, working in labor and delivery, performs a sterile vaginal exam on a laboring woman. During the exam, she feels a loop of pulsating cord in the vagina. The nurse would anticipate: Select one:

8 :
The nurse at a shelter is counseling a group of women experiencing domestic violence. What is most important for the nurse to emphasize? Select one:

9 :
Obstetrical risks to consider for a pregnant teenager would be all of the following, EXCEPT: Select one:

10 :
The parents of a newborn who is being treated for bacterial septicemia ask the nurse why their baby didn’t seem very ill. The best response of the nurse is: Select one:

QLexNursing

1 : The primary factor that differentiates eclampsia from preeclampsia is: Select one:

2 : The nurse at a shelter is counseling a group of women experiencing domestic violence. What is most important for the nurse to emphasize? Select one:

3 : At 22 weeks' gestation, a client is diagnosed with placenta previa. The doctor tells the client that the placenta may move away from the cervix as the pregnancy progresses. This is classified as what type of previa?

4 : A client who is breastfeeding her newborn tells the nurse, "l notice that when I feed him, I feel fairly strong contraction-like pain. Labor is over. Why am I having contractions now?' Which response by the nurse would be most appropriate? Select one:

5 : A couple who has had difficulty conceiving confides in the nurse at the infertility clinic that they feel overwhelmed with the decisions that face them. Which of the following nursing strategies would be most appropriate and therapeutic? Select one:

6 : The nurse administers vitamin K intramuscularly as prophylaxis to the newborn based on which of the following rationales? Select one:

7 : The nurse, working in labor and delivery, performs a sterile vaginal exam on a laboring woman. During the exam, she feels a loop of pulsating cord in the vagina. The nurse would anticipate: Select one:

8 : The nurse at a shelter is counseling a group of women experiencing domestic violence. What is most important for the nurse to emphasize? Select one:

9 : Obstetrical risks to consider for a pregnant teenager would be all of the following, EXCEPT: Select one:

10 : The parents of a newborn who is being treated for bacterial septicemia ask the nurse why their baby didn’t seem very ill. The best response of the nurse is: Select one:

1 :
The primary factor that differentiates eclampsia from preeclampsia is: Select one:

2 :
The nurse at a shelter is counseling a group of women experiencing domestic violence. What is most important for the nurse to emphasize? Select one:

3 :
At 22 weeks' gestation, a client is diagnosed with placenta previa. The doctor tells the client that the placenta may move away from the cervix as the pregnancy progresses. This is classified as what type of previa?

4 :
A client who is breastfeeding her newborn tells the nurse, "l notice that when I feed him, I feel fairly strong contraction-like pain. Labor is over. Why am I having contractions now?' Which response by the nurse would be most appropriate? Select one:

5 :
A couple who has had difficulty conceiving confides in the nurse at the infertility clinic that they feel overwhelmed with the decisions that face them. Which of the following nursing strategies would be most appropriate and therapeutic? Select one:

6 :
The nurse administers vitamin K intramuscularly as prophylaxis to the newborn based on which of the following rationales? Select one:

7 :
The nurse, working in labor and delivery, performs a sterile vaginal exam on a laboring woman. During the exam, she feels a loop of pulsating cord in the vagina. The nurse would anticipate: Select one:

8 :
The nurse at a shelter is counseling a group of women experiencing domestic violence. What is most important for the nurse to emphasize? Select one:

9 :
Obstetrical risks to consider for a pregnant teenager would be all of the following, EXCEPT: Select one:

10 :
The parents of a newborn who is being treated for bacterial septicemia ask the nurse why their baby didn’t seem very ill. The best response of the nurse is: Select one: