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Which of the following is the appropriate nursing care outcome for a client who suddenly develops anaphylactoid syndrome of pregnancy (ASP) during labor?

A.

Client will be infection free at discharge.

B.

Client will exhibit normal breathing function at discharge.

C.

Client will exhibit normal gastrointestinal function at discharge.

D.

Client will void without pain at discharge.

Answer and Explanation

The Correct Answer is B

Choice A rationale

While infection prevention is vital, ensuring breathing function is more critical after ASP.

 

Choice B rationale

ASP affects the respiratory system severely; thus, restoring normal breathing is a primary goal.

 

Choice C rationale

Gastrointestinal function is less immediately affected by ASP compared to respiratory issues.

 

Choice D rationale

Voiding without pain is important, but respiratory stability takes precedence.


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View Related questions

Correct Answer is A

Explanation

Choice A rationale

Postpartum psychosis poses significant risks to both the mother and her infant. The mother may have impaired judgment, hallucinations, or delusions, making it unsafe for her to be

left alone with her baby.

Choice B rationale

Symptoms of postpartum psychosis can persist for several weeks to months without appropriate treatment. Immediate and ongoing intervention is crucial to manage the condition.

Choice C rationale

Clinical response to medications for postpartum psychosis can vary, but with proper treatment, many clients show significant improvement. It is not accurate to state that the

response is usually poor.

Choice D rationale

While monitoring vitals may be part of overall care, it is not the most critical teaching point. Ensuring the mother is never left alone with her infant is essential to prevent potential

harm.

Correct Answer is C

Explanation

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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