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 C
Explanation
A. HSV-2 can cause neonatal herpes, which may result in serious complications or fetal demise if transmitted at delivery.
B. Tight-fitting undergarments can increase moisture and irritation; clients should wear loose cotton underwear to promote healing.
C. The risk of neonatal transmission is highest when active lesions or viral shedding are present at the time of vaginal delivery.
D. Antiviral medications (e.g., acyclovir) suppress viral replication and reduce outbreaks and shedding but do not eradicate the virus.
Correct Answer is B
Explanation
A. Constipation is not directly associated with hyperemesis gravidarum.
B. Ketonuria occurs due to prolonged vomiting and starvation, indicating fat breakdown for energy.
C. Hypertension is unrelated to hyperemesis gravidarum.
D. Polyhydramnios refers to excessive amniotic fluid and is not a feature of hyperemesis gravidarum.
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