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Practice Question

A postpartum client who experienced abruptio placentae is at risk for developing which of the following coagulopathies?

Answer Choices:

Correct Answer:

DIC (Disseminated Intravascular Coagulation)

Rationale:

➡️Abruptio placentae leads to the release of thromboplastin from the damaged placenta into maternal circulation, triggering DIC.

➡️In DIC, widespread clotting in small vessels consumes platelets and clotting factors, causing uncontrolled bleeding.

➡️The patient is at risk for hemorrhage, organ ischemia, and shock.

➡️Clinical management includes correcting the underlying cause, replacing blood products, and monitoring for bleeding.

➡️Early recognition of DIC is vital to prevent maternal mortality and stabilize coagulation status.

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This question is from Custom maternity exam 1 fall 2025 Marcellus -Examplify (1) which contains 13 questions.

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More Questions from This Exam
 A nurse is caring for a client who is postpartum. Which of the following findings is an indication for the nurse to administer Rho(D) immune globulin?

Answer Choices:

A. The client is Rh-negative and has delivered a Rh-positive newborn.
B. The client is Rh-positive and has delivered a Rh-negative newborn.
C. The client has a history of chickenpox.
D. The client is planning to conceive after 1 month postpartum.
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During childbirth, the fetus exerts pressure on the maternal tissues. Which of the following structures is most affected by fetal pressure during vaginal delivery?

Answer Choices:

A. Bladder
B. Cervix
C. Vagina
D. Rectum
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 A nurse is caring for a client in the emergency department who presents with sudden, sharp right-sided lower quadrant abdominal pain and bright red vaginal bleeding. The client reports a missed menstrual cycle and denies the possibility of pregnancy due to an intrauterine device. The nurse suspects which of the following conditions?

Answer Choices:

A. Abruptio placentae
B. Hydatidiform mole
C. Septic abortion
D. Ectopic pregnancy
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When providing culturally competent care to patients from diverse backgrounds, what is the nurse's primary role in terms of cultural accommodation?

Answer Choices:

A. Assisting the client to maintain traditional values and practices
B. Supporting and facilitating the client's use of cultural practices that are beneficial to the client's health
C. Assisting the client to modify cultural practices that are not beneficial to the client's health
D. Advocating, mediating, negotiating, and intervening between the client's culture and health care culture on behalf of the client
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A pregnant client at 32 weeks of gestation with gestational hypertension and intrauterine growth restriction (IUGR) asks the nurse why regular fetal testing is important. Which explanation by the nurse is most accurate regarding the pathophysiological impact of gestational hypertension and IUGR on fetal well-being?

Answer Choices:

A. Gestational hypertension and IUGR can lead to increased blood flow to the placenta, promoting fetal growth.
B. Gestational hypertension and IUGR may cause decreased uteroplacental blood flow, resulting in non-reassuring fetal status and growth restriction.
C. Gestational hypertension and IUGR have no significant impact on fetal development and well-being.
D. Gestational hypertension and IUGR primarily affect maternal health without directly influencing fetal growth.
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From Exam
Custom maternity exam 1 fall 2025 Marcellus -Examplify (1)

13 Questions

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Question Details
  • Category: RN Nursing Exam(s)
  • Subcategory: Examplify Exam(s)
  • Domain: Maternal-Child
  • Answer Choices: 4
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