A 35-year-old pregnant woman with irregular periods, G4 T2 PO A1 L2 is 28 weeks pregnant by the last ultrasound, when she experiences bright red and painless vaginal bleeding, fetal contour is easily assessed, and uterine tone is normal. On her arrival at the hospital, what would be an expected diagnostic procedure or test to confirm the diagnosis?

Select one:

Vaginal Ultrasound for placental location

Amniocentesis for fetal lung maturity

Abdominal Ultrasound for placental location

Contraction stress test (CST)

Answer and Explanation

The Correct Answer is A

a.   This would help determine the location of the placenta and whether placenta previa is present, which can cause painless vaginal bleeding.
b.   This is not typically done for diagnosis of painless vaginal bleeding.
c.   While an abdominal ultrasound can also determine the location of the placenta, a vaginal ultrasound is more accurate for this purpose.
d.   This is not typically done for diagnosis of painless vaginal bleeding.

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Correct Answer is B

Explanation

a. The barrier method, which includes male and female condoms, diaphragms, and cervical caps, is effective at preventing pregnancy but may not provide adequate protection against sexually transmitted diseases.
b. Abstaining from sex is the only surefire way to prevent both pregnancy and sexually transmitted diseases.
c. The female condom can provide some protection against pregnancy, but may not provide adequate protection against sexually transmitted diseases.
d. The male condom can provide some protection against pregnancy, but may not provide adequate protection against sexually transmitted diseases.

A. Insert a scalp electrode. B. Notify the care provider. C. Assist with amnioinfusion. D. Reposition the patient.

Correct Answer is D

Explanation

a. A scalp electrode is not indicated unless there is a problem with the external monitor tracing or if further assessment of the fetal heart rate variability is needed.
b. This is important but repositioning the patient is the priority.

c. Amnioinfusion is only done if repositioning the patient does not resolve the late decelerations.

d. The nurse is observing late decelerations of the fetal heart rate, which indicate uteroplacental insufficiency and fetal hypoxia. The nurse's first priority is to reposition the patient to improve placental blood flow and oxygen delivery to the fetus. Repositioning can be done by turning the patient to her side, elevating her legs, or placing a wedge under her hip.

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Naxlex Comprehensive Predictor Exams

The nurse is providing sexual education to a group of high school students. What will the nurse explain is the most effective choice of birth control for preventing pregnancy and sexually transmitted diseases? Select one:

Correct Answer is B

Explanation

Correct Answer is D

Explanation

When assessing the fetus using Leopold maneuvers, the nurse feels a round, firm, movable fetal part in the pelvis inlet and a long, smooth, and soft surface in the mother's left side close to the midline. What is the likely position of the fetus? Select one:

Preconception counseling is critical to the outcome of diabetic pregnancies because poor glycemic control before and during early pregnancy increase the incidence of Select one:

A nurse in a community clinic is counseling a client who received a positive test result for chlamydia. Which of the following statements should the nurse provide?

A 23-year-old college student has come to see the Nurse Practitioner for treatment of a vaginal infection. Physical assessment reveals inflammation of the vagina and vulva. The vaginal discharge is a greenish and strong fishy odor. With which STI are these findings consistent? Select one:

Physiologic anemia often occurs during pregnancy as a result of

A woman is at 9 weeks of gestation. The nurse would expect to palpate the fundus at which level? Select one:

A nurse is admitting a client who has a diagnosis of preterm labor. The nurse anticipal a prescription by the provider for which of the following medications? (Select all that apply.)