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

Answer and Explanation

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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Correct Answer is B

Explanation

The correct answer is B. Anticonvulsants. Anticonvulsants can interfere with the effectiveness of a combined oral contraceptive (COC)10111213. These medications can increase the metabolism of COCs, thereby reducing their effectiveness and potentially leading to contraceptive failure.

A. Very fine hairs, called lanugo, cover your baby’s entire body by week 36 of pregnancy. B. The sex of the baby is determined by week 8 of pregnancy. C. You will first feel your baby move in week 24 of pregnancy. D. The baby’s heartbeat is audible by a Doppler stethoscope at 12 weeks of pregnancy.

Correct Answer is D

Explanation

The correct answer is Choice D

Choice A rationale: Lanugo, very fine hairs, begin to cover the baby's body around week 20, not week 36. These hairs help protect the skin and usually disappear before birth. By week 36, the lanugo has mostly disappeared, and the baby is almost fully developed.

Choice B rationale: The sex of the baby is determined at conception based on the chromosomes carried by the sperm and egg. However, the external genitalia do not become distinguishable until around week 12 of pregnancy, making week 8 too early for sex determination.

Choice C rationale: Most women first feel fetal movements, known as quickening, between weeks 18 and 22, not week 24. This can vary based on individual factors, but week 24 is generally later than the typical range for first fetal movements.

Choice D rationale: The baby's heartbeat can usually be heard using a Doppler stethoscope by around 12 weeks of pregnancy. This marks a significant milestone and reassures expectant parents about their baby's health and development at this early stage

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A nurse is admitting a client who is 33 weeks pregnant and diagnosed with placenta previa. What is the priority nursing action?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is D

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A nurse is admitting a client who is 33 weeks pregnant and diagnosed with placenta previa.
What is the priority nursing action?