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A nurse in a provider's office is caring for a client who is at 30 weeks of gestation

Exhibits
The nurse is reviewing the client's assessment data.

For each assessment finding below, click to specify if the finding is consistent with placenta previa, preterm labor, or abruptio placenta Each finding may be consistent with more than one condition or none at all

A.

Cervical dilation

B.

Uterine contractions

C.

Vaginal bleeding

D.

Client reports low back pain

E.

Abdominal tenderness

Answer and Explanation

The Correct Answer is {"A":{"answers":"B,C"},"B":{"answers":"B,C"},"C":{"answers":"A,C"},"D":{"answers":"B,C"},"E":{"answers":"C"}}

Assessment findings

Placenta previa

Preterm labor

Abruption placenta

Cervical dilation

 

✓

✓

Uterine contractions

 

✓

✓

Vaginal bleeding

✓

 

✓

Client reports low back pain

 

✓

✓

Abdominal tenderness

 

 

✓

 

Rationale

  • Cervical dilation: Present in preterm labor and abruption due to uterine activity and cervical changes; not typical in placenta previa unless labor begins.
  • Uterine contractions: Present in preterm labor and abruption; placenta previa usually painless without contractions.
  • Vaginal bleeding: In placenta previa, bleeding is usually painless; in abruption, bleeding is often accompanied by pain; preterm labor usually does not involve bleeding.
  • Low back pain: Common in preterm labor and abruption due to contractions or placental separation; not typical in placenta previa.
  • Abdominal tenderness: Present in abruption because of bleeding behind the placenta causing uterine irritation; absent in placenta previa and preterm labor.


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Related Questions

Correct Answer is A

Explanation

A. Spending individual time with the preschooler helps reduce feelings of jealousy and promotes security during the transition.
B. Moving the child too close to the arrival of the new baby can increase stress; it’s better to make such changes well in advance.
C. The preschooler might feel excluded or jealous if they see the parent holding the baby first; it is better to prepare them beforehand.
D. Including the preschooler in prenatal visits can help them feel involved and less anxious about the new sibling.

Correct Answer is B

Explanation

A. A transvaginal fetal Doppler is not commonly used for continuous monitoring and is typically reserved for early pregnancy.
B. An external ultrasound transducer is appropriate for continuous fetal monitoring when the membranes are intact. It is noninvasive and safe for use during labor.
C. A DeLee Hillis fetoscope is used for intermittent auscultation, not continuous monitoring.
D. An internal fetal scalp electrode requires ruptured membranes and cervical dilation; it is contraindicated with intact membranes.

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