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)
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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Related Questions
Correct Answer is D
Explanation
a. Spontaneous rupture of the membranes (SROM) may or may not occur during labor and is not a reliable sign.
b. Engagement of the presentation is the descent of the fetal head or breech into the pelvis and can occur before labor begins.
c. Irregular contractions can occur during false labor (Braxton Hicks contractions) and are not a reliable sign of true labor.
d. Cervical effacement is the thinning and shortening of the cervix that occurs during labor. It is a sign of true labor, along with cervical dilation and regular contractions.
Correct Answer is A
Explanation
a. Massaging the client's back can help to close the "gate" for pain signals to reach the brain according to the Gate control theory of pain.
b. Administering analgesic medications addresses pain but does not directly apply the principles of the Gate control theory.
c. Placing the client on a supine position does not specifically address pain control according to the Gate control theory.
d. Repositioning onto her left side may be done for fetal well-being but does not directly apply the principles of the Gate control theory.
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