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22, A l6-year-old patient is admitted to the hospital with a diagnosis of severe preeclampsia. The nurse must closely monitor the woman for which of the following? a High leuk ocyte countb. Explosive diarrheac. Fractured pelvisd. Low platelet count ANS: d Feedback a. High leuk ocyte count is not associated with severe pregnancy- induced hypertension (PIH) or HELLP (hemolysis, elevated liver enzymes, and low platelets) syndrome.b. Explosive diarrhea is not associated with severe PIH or HELLP syndrome.c. A fractured pelvis is not associated with severe PIH or HELLP syndrome.d. Low platelet count is one of the signs associated with HELLP (hemolysis, elevated liver enzymes, and low platelets) syndrome. KEY: Integrated Process: Nursing Process: Assessment | Cognitive Level: Application | Content Area: Antepartum Care; Diagnostic Tests; Reduction of Risk Potential: Laboratory Data | Client Need: Health Promotion and Maintenance; Physiological Integrity: Reduction of Risk Potential | Difficulty Level: Difficult 23, A woman at 10 week s* gestation is diagnosed with gestational trophoblastic disease (hydatiform mole). Which of the following findings would the nurse expect to see? Maternal-Newbom Nursing: The Crtical Components Of Nursing Care, 3rd Edition, Roberta Durham, Linda Chapman a Platelet count of 550,000/ mm3b. Dark brown vaginal bleedinge. White blood cell count 17,000/ mm3d. Macular papular rash ANS: b Feedback a. The nurse would not expect to see an elevated platelet count.b. The nurse would expect to see dark brown vaginal dischargec. The nurse would not expect to see an elevated white blood cell count.d. The nurse would not expect to see a rash. KEY: Integrated Process: Nursing Process: Assessment | Cognitive Level: Application | Content Area: Antepartum Care; Physiological Adaptation: Alterations in Body Systems | Client Need: Health Promotion and Maintenance; Physiological Integrity: Physiological Adaptation | Difficulty Level: Difficult 24. After an education class, the nurse overhears an adolescent woman discussing safe sex practices. Which of the following comments by the young woman indicates that additional teaching about sexually transmitted infection (STI) control issues is needed? a —I could get an STI even if | just have oral sex.lb. —Girls over 16 are less lik ely to get STDs than younger girls.lc. —The best way to prevent an ST1 is to use a diaphragm.Id. —Girls get human immunodeficiency virus (HIV) easier than boys do.l ANS: ¢ Feedback a. This statement is true. Organisms that cause sexually transmitted infections can invade the respiratory and gastrointestinal tracts.b. This statement is true. Young women are especially high risk for becoming infected with sexually transmitted diseases.c. This statement is untrue. The young woman needs further teaching. Condoms protect against STDs and pregnancy. In addition, condoms can be k ept in readiness for whenever sex may occur @ O 2