A nurse in a provider's office is caring for a client who is at 30 weeks of gestation
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
Cervical dilation
Uterine contractions
Vaginal bleeding
Client reports low back pain
Abdominal tenderness
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Ondansetron is used to treat nausea but is not a routine pre-epidural intervention.
B. Administering an IV fluid bolus before epidural anesthesia helps prevent hypotension caused by sympathetic blockade.
C. Epidurals can be administered earlier than 7 cm dilation based on maternal request and clinical assessment.
D. Oxygen administration is not routinely required before an epidural unless fetal distress or maternal hypoxia is present.
Correct Answer is C
Explanation
A. The car seat should remain rear-facing until at least age 2, or until the child reaches the maximum height and weight limit specified by the manufacturer, not just until 12 months.
B. The retainer (chest) clip should be positioned at the level of the infant's armpits, not the abdomen, to ensure proper restraint.
C. Positioning the car seat at a 45° angle helps keep the infant’s airway open and reduces the risk of aspiration or airway obstruction.
D. For rear-facing seats, the harness straps should be at or below the baby's shoulders, not above.
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