A client who is 36 weeks with a breech presentation and diagnosed with a placenta previa asks the nurse if she can have an external version and deliver vaginally. The best answer by the nurse would be which of the following?

"You are a great candidate for external version. We will schedule it for this week."

"You will have to be in active labor before we do an external version."

"You are not a candidate for external version because you have a placenta previa."

"You are not a candidate for external version because your baby is in a brooch presentation."

Answer and Explanation

The Correct Answer is C

A. External version is not recommended in cases of placenta previa as it can cause hemorrhage or placenta separation.

B. External version is typically not performed in placenta previa because of the risk of bleeding or placental separation.

C. A breech presentation combined with placenta previa is a contraindication for external version, as attempting the version could cause severe complications.

D. The presence of a breech presentation, in this case, is not the primary reason for the inability to perform an external version. The main concern is placenta previa.

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Correct Answer is B

Explanation

A. A cerclage is a surgical procedure in which a suture is placed around the cervix to prevent it from dilating prematurely, typically done in women with a history of cervical insufficiency or preterm labor.

B. A cerclage does not prevent preterm labor itself but helps to prevent early cervical dilation, which could lead to preterm labor.

C. A cerclage is done to prevent cervical dilation that occurs too early in pregnancy, especially in women with a history of spontaneous abortions due to cervical insufficiency.

D. Cerclage is often recommended for women with a history of spontaneous abortions, particularly those caused by cervical incompetence or early dilation.

Correct Answer is ["1"]

Explanation

The fetal heart rate is within normal ranges between 110 to 160 beats/minute. It also shows moderate variability with the amplitude ranging between 6 to 25 bmp. Both late and variable decelerations are absent. Therefore, based on the above findings this is a category 1 tracing.

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A client who is 36 weeks with a breech presentation and diagnosed with a placenta previa asks the nurse if she can have an external version and deliver vaginally. The best answer by the nurse would be which of the following?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client tells the nurse she is to have a cerclage and wants to know why the doctor is going to do this. The nurse provides education about a cerclage. Which statement indicates teaching needs to be reinforced?

Correct Answer is B

Explanation

This is a category _______ (answer numerically i.e 1, 2, 3, 4 etc.).

Correct Answer is ["1"]

Explanation

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