A delirious client is admitted to the hospital in labor. She has had no prenatal care and vials of crack cocaine are found in her pockets.
The nurse monitors this client carefully for which of the following intrapartum complications?
Prolonged labor.
Prolapsed cord.
Abruptio placentae.
Retained placenta
Retained placenta
The Correct Answer is C
Choice A rationale
Prolonged labor is not directly linked to drug use and does not present as an immediate complication.
Choice B rationale
Prolapsed cord is not associated with substance abuse and lacks direct connection to this scenario.
Choice C rationale
Cocaine use heightens the risk of abruptio placentae, a serious condition where the placenta detaches prematurely.
Choice D rationale
Retained placenta is a concern but less likely than abruptio placentae in the context of cocaine use.
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Correct Answer is B
Explanation
Choice A rationale
Magnesium sulfate is not given to increase diuresis; this is not its primary effect and is incorrect in the context of treating preeclampsia.
Choice B rationale
Magnesium sulfate is administered to prevent seizures in patients with preeclampsia. It acts as a central nervous system depressant and helps in preventing eclampsia.
Choice C rationale
Although magnesium sulfate may have a mild effect on reducing blood pressure due to its vasodilatory properties, this is not its primary purpose in the management of preeclampsia.
Choice D rationale
Magnesium sulfate is not used to slow the process of labor; its main role is seizure prophylaxis in preeclampsia.
Correct Answer is B
Explanation
Choice A rationale
Decreased muscle tone is not typically associated with NAS. NAS often presents with increased muscle tone due to withdrawal symptoms.
Choice B rationale
A continuous high-pitched cry is a hallmark sign of NAS, indicating withdrawal and discomfort. This is due to overstimulation of the central nervous system.
Choice C rationale
Newborns with NAS often have difficulty sleeping due to irritability and discomfort, sleeping for shorter periods.
Choice D rationale
Tremors in NAS are typically pronounced and continuous, not just when disturbed. These tremors result from withdrawal effects on the nervous system.