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 D

Explanation

a. Smoking is not directly associated with neural tube defects.
b. Smoking is not directly associated with type 1 diabetes mellitus.
c. While smoking during pregnancy is harmful, it is not specifically associated with congenital heart defects.
d. Smoking during pregnancy is a known risk factor for intrauterine growth restriction, which can lead to low birth weight and other complications for the newborn

A. Insert a scalp electrode. B. Notify the care provider. C. с. Document as a normal finding. D. Change the woman's position.

Correct Answer is C

Explanation

a. This may be done if the fetal heart rate (FHR) tracing is not clear, but it is not the first priority in this situation.
b. Early decelerations can indicate fetal head compression and is a normal finding hence there is no need of notifying the healthcare provider.
c. One of the FHR patterns that may be observed is early decelerations, which are symmetrical decreases in FHR that coincide with uterine contractions. Early decelerations are usually benign and reflect fetal head compression during contractions. The nurse's first priority in this case is to document as a normal finding and continue to monitor the FHR and uterine activity.
d. This may help relieve pressure on the fetal head and improve FHR, but it is not the first priority in this situation.

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Naxlex Comprehensive Predictor Exams

Correct Answer is D

Explanation

Correct Answer is C

Explanation

The nurse tells a woman who is trying to conceive to check her cervical mucus for changes. What will she expect the characteristic of cervical mucus to be a few days before ovulation? Select one:

A woman reports that her last normal menstrual period began on March 13, 2022. What is this woman's expected delivery date using Nagele's rule? Select one:

A nurse is caring for a client who is a primigravida, at term, and having contractions but is stating that she is "not really sure if she is in labor or not." Which of the following should the nurse recognize as a sign of true labor?

A nurse in a prenatal clinic overhears a newly licensed nurse discussing conception with a client. Which of the following statements by the newly licensed nurse requires intervention by the nurse?

The nurse caring for the laboring woman should understand that early decelerations are caused by:

A woman who has five pregnancies with a fetus (or fetuses) not reaching the stage of fetal viability beyond 20 weeks is known as: Select one:

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