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A nurse is caring for a client who is at 41 weeks of gestation. The nurse should understand that which of the following findings can indicate a prenatal complication in this client?

A.

Leukorrhea.

B.

Shortness of breath.

C.

Non-pitting ankle edema.

D.

Blurred vision.

Answer and Explanation

The Correct Answer is D

Choice A rationale

 

Leukorrhea, a normal vaginal discharge, increases during pregnancy due to hormonal changes. It's not indicative of prenatal complications at 41 weeks of gestation.

 

Choice B rationale

 

Shortness of breath is common in late pregnancy due to the enlarged uterus pressing against the diaphragm. It is not necessarily a sign of a prenatal complication at this stage.

 

Choice C rationale

 

Non-pitting ankle edema is often seen in late pregnancy due to fluid retention and increased pressure on the veins. It is typically benign and not a sign of serious complications.

 

Choice D rationale

 

Blurred vision can indicate a serious prenatal complication such as preeclampsia, which is characterized by high blood pressure and can pose significant risks to both mother and baby if not managed properly. .

 


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View Related questions

Correct Answer is D

Explanation

Choice A rationale

This statement is incorrect because a Papanicolaou test, or Pap smear, is not used for the removal of uterine fibroids. Fibroid removal typically involves surgical procedures like myomectomy.

Choice B rationale

This statement is incorrect because a Pap smear is not used to determine ovulation status. Ovulation can be monitored through methods like basal body temperature tracking or hormone assays.

Choice C rationale

This statement is incorrect because a Pap smear does not detect endometriosis. Endometriosis is usually diagnosed through laparoscopy or imaging studies like ultrasound or MRI.

Choice D rationale

This statement is correct because a Papanicolaou test is specifically designed to detect the presence of cervical cancer and precancerous changes in the cervical cells.

Correct Answer is C

Explanation

Choice A rationale

Starting each feeding with the same breast can lead to engorgement and decreased milk supply in the other breast.

Choice B rationale

Exclusive breastfeeding is recommended for the first six months. Providing a formula supplement can interfere with milk supply and breastfeeding success.

Choice C rationale

Allowing the newborn to empty the first breast ensures they receive hindmilk, which is richer in fat and essential for growth.

Choice D rationale

Newborns do not need additional water as breast milk or formula provides all necessary hydration.

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