Maternity NCLEX PREP: Urgent Conditions

Froggy Jumps

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Placental issues and HELLP care

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RNPRPEPBESTIE

United States

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Maternity NCLEX PREP: Urgent Conditions


Froggy Jumps Maternity NCLEX PREP: Urgent ConditionsOnline version Placental issues and HELLP care by RNPRPEPBESTIE 1 A 32-week pregnant client reports painless bright red vaginal bleeding. Vital signs are stable, fetal heart rate is reassuring, and contractions are absent. What is the nurse’s priority action? a Prepare the client for a vaginal exam b Encourage the client to walk to assess bleeding changes c Maintain bed rest and notify the provider 2 A client at 36 weeks presents with sudden severe abdominal pain and dark vaginal bleeding. The uterus feels firm and tender on palpation. What complication is most concerning? a Placental abruption b Placenta previa c Normal labor progression 3 A pregnant client with known placenta previa asks why pelvic exams are avoided. Which explanation best supports patient education? a Exams may trigger labor contractions b Exams can cause severe bleeding c Exams increase the risk of infection 4 A client with placental abruption reports worsening pain and anxiety. The fetal heart rate shows late decelerations. What is the nurse’s priority nursing action? a Document findings and reassess in 30 minutes b Encourage slow breathing techniques c Reposition the client and report findings 5 A client with HELLP syndrome has right upper quadrant pain, elevated liver enzymes, and low platelets. Which finding requires immediate provider notification? a New onset epigastric pain b Intermittent nausea after meals c Mild lower extremity edema 6 A nurse is caring for a client with suspected placental abruption. Which assessment finding supports this concern? a Painless bright red bleeding b Light spotting after cervical exam c Firm uterus with abdominal pain 7 A client with placenta previa asks why delivery planning may change. Which response by the nurse is most appropriate? a Bleeding risk may require surgical delivery. b Pain levels are typically higher with previa. c Labor usually progresses more quickly. 8 A pregnant client with HELLP syndrome has decreased urine output and increasing blood pressure. What is the nurse’s priority focus? a Assist the client with ambulation b Monitor intake and output closely c Encourage oral fluid intake 9 A client presents with vaginal bleeding, abdominal pain, and a firm uterus. The nurse suspects placental abruption. What education is most important? a Avoid lifting heavy objects at home b Report any new vaginal discharge c Seek immediate care if pain worsens 10 A client with HELLP syndrome asks why frequent labs are required. Which explanation best reflects nursing education? a Labs determine readiness for discharge b Labs confirm the baby’s lung maturity c Labs help monitor liver function and clotting

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Maternity NCLEX PREP: Urgent Conditions

Froggy Jumps

About this activity

Created by

Download the paper version to play

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Maternity NCLEX PREP: Urgent ConditionsOnline version

by RNPRPEPBESTIE

A 32-week pregnant client reports painless bright red vaginal bleeding. Vital signs are stable, fetal heart rate is reassuring, and contractions are absent. What is the nurse’s priority action?

A client at 36 weeks presents with sudden severe abdominal pain and dark vaginal bleeding. The uterus feels firm and tender on palpation. What complication is most concerning?

A pregnant client with known placenta previa asks why pelvic exams are avoided. Which explanation best supports patient education?

A client with placental abruption reports worsening pain and anxiety. The fetal heart rate shows late decelerations. What is the nurse’s priority nursing action?

A client with HELLP syndrome has right upper quadrant pain, elevated liver enzymes, and low platelets. Which finding requires immediate provider notification?

A nurse is caring for a client with suspected placental abruption. Which assessment finding supports this concern?

A client with placenta previa asks why delivery planning may change. Which response by the nurse is most appropriate?

A pregnant client with HELLP syndrome has decreased urine output and increasing blood pressure. What is the nurse’s priority focus?

A client presents with vaginal bleeding, abdominal pain, and a firm uterus. The nurse suspects placental abruption. What education is most important?

A client with HELLP syndrome asks why frequent labs are required. Which explanation best reflects nursing education?