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NEW QUESTION 33
A 38-year-old pregnant woman visits her nurse practitioner for her regular prenatal checkup. She is 30 weeks' gestation. The nurse should be alert to which condition related to her age?

• A. Sexually transmitted disease (STD)
• B. Intrauterine growth retardation
• C. Iron-deficiency anemia
• D. Pregnancy-induced hypertension (PIH)

Answer: D

Explanation:
Explanation
(A) Iron-deficiency anemia can occur throughout pregnancy and is not age related. (B) STDs can occur prior to or during pregnancy and are not age related. (C) Intrauterine growth retardation is an abnormal process where fetal development and maturation are delayed. It is not age related. (D) Physical risks for the pregnant client older than 35 include increased risk for PIH, cesarean delivery, fetal and neonatal mortality, and trisomy.

NEW QUESTION 34
In assessing cardiovascular clients with progression of aortic stenosis, the nurse should be aware that there is typically:

• A. Increased left ventricular systolic pressures and hypertrophy
• B. Decreased pulmonary blood flow and cyanosis
• C. Systemic venous engorgement
• D. Increased pressure in the pulmonary veins and pulmonary edema

Answer: A

Explanation:
Section: Questions Set A
Explanation/Reference:
Explanation:
(A) These signs are seen in pulmonic stenosis or in response to pulmonary congestion and edema and mitral stenosis. (B) These signs are seen primarily in mitral stenosis or as a late sign in aortic stenosis after left ventricular failure. (C) These signs are seen primarily in right-sided heart valve dysfunction. (D) Left ventricular hypertrophy occurs to increase muscle mass and overcome the stenosis; left ventricular pressures increase as left ventricular volume increases owing to insufficient emptying.

NEW QUESTION 35
The physician is preparing to induce labor on a 40-week multigravida. The nurse should anticipate the administration of:

• A. Vasopressin (Pitressin)
• B. Oxytocin (Pitocin)
• C. Progesterone
• D. Ergonovine maleate

Answer: B

Explanation:
Explanation
(A) Oxytocin is a hormone secreted by the neurohypophysis during suckling and parturition that produces strong uterine contractions. (B) Progesterone has a quiescence effect on the uterus. (C) Vasopressin is an antidiuretic hormone that promotes water reabsorption by the renal tubules. (D) Ergonovine produces dystocia as a result of sustained uterine contractions.

NEW QUESTION 36
A 10-year-old has been diagnosed with acute poststreptococcal glomerulonephritis. The clinical findings were proteinuria, moderately elevated blood pressure, and periorbital edema. Which dietary plan is most appropriate for this client?

• A. High-cholesterol diet
• B. Low-protein diet
• C. Low-sodium diet
• D. Increased fluid intake

Answer: C

Explanation:
Explanation/Reference:
Explanation:
(A) A high-protein diet is usually indicated because protein is excreted in urine. Protein restriction is usually prescribed with severe azotemia. (B) The kidneys usually enlarge in these children, and sodium and water are retained. (C) Fluid restriction may be ordered to help reduce edema; however, monitoring for dehydration is indicated. (D) A high-cholesterol diet would not be indicated for any child, especially one with elevated blood pressure.

NEW QUESTION 37
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