A nurse has been assigned to assess a pregnant client for abruptio placenta.
For which classic manifestation of this condition should the nurse assess?.
Generalized vasospasm.
Painless bright red vaginal bleeding.
"Knife-like" abdominal pain with vaginal bleeding.
Increased fetal movement.
The Correct Answer is C
The correct answer is choice C.
Choice A rationale:
Generalized vasospasm is not a symptom of abruptio placenta. It is more associated with conditions like preeclampsia.
Choice B rationale:
Abruptio placenta is usually associated with painful dark red vaginal bleeding, not painless bright red bleeding.
Choice C rationale:
“Knife-like” abdominal pain with vaginal bleeding is a classic symptom of abruptio placenta.
Choice D rationale:
Increased fetal movement is not a symptom of abruptio placenta. In fact, fetal movement may decrease due to distress.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The correct answer is choice B.
Choice A rationale:
Massaging the uterus does not increase its boggy nature, but rather helps it contract and become firm, reducing the risk of postpartum hemorrhage.
Choice B rationale:
Massaging the uterus helps constrict the uterine blood vessels, which reduces bleeding after the placenta has been expelled.
Choice C rationale:
Massaging the uterus has no effect on the likelihood of conducting an episiotomy, which is a surgical incision made during childbirth.
Choice D rationale:
Massaging the uterus does not remove pieces left attached to the uterine wall. This would require a manual or surgical procedure.
Correct Answer is C
Explanation
The correct answer is choice C.
Choice A rationale:
Generalized vasospasm is not a symptom of abruptio placenta. It is more associated with conditions like preeclampsia.
Choice B rationale:
Abruptio placenta is usually associated with painful dark red vaginal bleeding, not painless bright red bleeding.
Choice C rationale:
“Knife-like” abdominal pain with vaginal bleeding is a classic symptom of abruptio placenta.
Choice D rationale:
Increased fetal movement is not a symptom of abruptio placenta. In fact, fetal movement may decrease due to distress.
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