A nurse is admitting a client who is 33 weeks pregnant and diagnosed with placenta previa.
What is the priority nursing action?
Insert an IV catheter.
Administer glucocorticoids.
Apply an external fetal monitor.
Monitor vaginal bleeding.
None
None
The Correct Answer is C
The correct answer is Choice C.
Choice A rationale: Inserting an IV catheter is important for potential fluid and medication administration, but it is not the immediate priority action.
Choice B rationale: Administering glucocorticoids is important for fetal lung maturity in case of preterm birth, but it is not the immediate priority upon admission.
Choice C rationale: Applying an external fetal monitor is the priority action. It allows for continuous monitoring of the fetal heart rate and uterine activity to assess the well-being of the fetus and detect any signs of distress.
Choice D rationale: Monitoring vaginal bleeding is important for managing placenta previa, but it is not the immediate priority. Continuous fetal monitoring takes precedence to ensure fetal safety.
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Related Questions
Correct Answer is A
Explanation
Choice A rationale
Regular exercise is generally safe and beneficial for pregnant women. It can help manage weight gain, improve mood and energy levels, and reduce pregnancy discomfort. Daily jogging for up to 30 minutes is acceptable throughout the pregnancy as long as the woman feels comfortable and her healthcare provider has not indicated otherwise.
Choice B rationale
Activities that elevate body temperature, such as saunas and hot tubs, are not recommended during pregnancy. High body temperatures can be harmful to the fetus, especially during the first trimester.
Choice C rationale
Exercise during pregnancy is generally recommended unless there are specific health concerns or complications that make it unsafe. It’s always important for pregnant women to consult with their healthcare provider before starting or continuing an exercise regimen.
Choice D rationale
While stretching activities can be a part of a balanced exercise routine during pregnancy, they should not be the only form of exercise. A combination of aerobic and strength-conditioning exercises is typically recommended.
Correct Answer is D
Explanation
Choice D rationale
Facial edema, or swelling, can be a sign of preeclampsia, a serious pregnancy complication characterized by high blood pressure. It is important for pregnant women to seek medical attention if they notice sudden or severe swelling in their face, hands, or fingers.
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