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 C

Explanation

a. This may be necessary once the woman's condition stabilizes, but it is not the initial treatment.
b. This is not typically indicated for hyperemesis gravidarum.

c. This is the initial treatment for hyperemesis gravidarum to prevent dehydration and correct electrolyte imbalances.
d. This may be part of the treatment plan, but it is not the initial treatment.

A. Not palpable above the symphysis at this time B. 5 cm above the umbilicus C. At the level of the umbilicus D. Slightly above the symphysis pubis

Correct Answer is A

Explanation

a. At 9 weeks of gestation, the uterus is still within the pelvic cavity and not palpable above the symphysis pubis.
b. The fundus is not expected to be palpable 5 cm above the umbilicus until around 20 weeks of gestation.
c. The fundus is not expected to be palpable at the level of the umbilicus until around 20 weeks of gestation.

d. The fundus is not expected to be palpable slightly above the symphysis pubis at 9 weeks of gestation.

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Naxlex Comprehensive Predictor Exams

The nurse is caring for a woman hospitalized for hyperemesis gravidarum. What should the nurse expect the initial treatment will be? Select one:

Correct Answer is C

Explanation

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

Correct Answer is A

Explanation

Physiologic anemia often occurs during pregnancy as a result of

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