QUESTION: "After teaching a pregnant client about potential complications of amniocentesis that must be reported immediately, the nurse determines that the client understands the instruction when she says that she should immediately report which of the following?"
CHOICES
( X ) a.) Nausea.
( O ) b.) Vaginal bleeding.
( X ) c.) Urinary frequency.
( X ) d.) Irregular, painless uterine tightness.
RATIONALE: Possible complications associated with amniocentesis include hemorrhage from penetration of the placenta, infection of the amniotic fluid, possible puncture of the fetus, and uterine irritation leading to premature labor. Therefore, after amniocentesis, the client should promptly report any vaginal discharge or bleeding, a decrease in fetal movement, or uterine contractions. Typically nausea is not a complication of amniocentesis. Urinary frequency is not a complication of amniocentesis. Irregular painless uterine tightness (Braxton-Hicks contractions) is not a complication of amniocentesis. NURSING PROCESS STEP: Evaluation CLIENT NEEDS CATEGORY: Physiological integrity CLIENT NEEDS SUBCATEGORY: Reduction of risk potential
