A nurse is assisting with the care of a client who is at 28 weeks of gestation.
Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.
The Correct Answer is []
- Potential Condition: Placenta previa
- This condition is characterized by the placenta covering the cervix, which can lead to painless, bright red vaginal bleeding during the second or third trimester.
- Actions to Take:
1. Insert a large-bore peripheral IV catheter.
- This is a precautionary measure to ensure that there is immediate venous access for fluid and blood product administration if necessary.
2. Reinforce with the client to maintain bed rest.
- Limiting physical activity can help reduce the risk of further bleeding.
- Parameters to Monitor:
1. Vaginal bleeding
- Monitoring the amount, color, and frequency of bleeding is crucial to assess the ongoing blood loss and stability of the condition.
2. Fetal well-being
- Regular monitoring of fetal heart rate and movement is important to ensure the fetus is not in distress.
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Related Questions
Correct Answer is C
Explanation
A. One cup of pasta contains some folate, but it is not the best source for increasing folate intake during pregnancy. Pasta provides carbohydrates but is not as rich in folate compared to leafy greens.
B. One large egg contains a moderate amount of folate but is not the highest source of folate compared to other foods. Eggs provide several nutrients, but for folate, there are better food options.
C. One cup of cooked spinach is a highly recommended food for increasing folate intake. Spinach is rich in folate, which is essential for fetal development, including preventing neural tube defects.
D. Half a cup of orange juice provides a decent amount of folate but is not as high in folate as one cup of cooked spinach. While orange juice can contribute to folate intake, it does not match the folate content of leafy greens like spinach.
Correct Answer is A
Explanation
A. Chronic hypertension is a significant risk factor for preeclampsia. Pregnant clients with pre-existing high blood pressure are at increased risk for developing this condition, which can lead to complications for both the mother and the baby.
B. Maternal age of 30 years is not considered a high-risk factor for preeclampsia. Advanced maternal age (35 years and older) is more commonly associated with an increased risk.
C. The third pregnancy alone is not a risk factor for preeclampsia. First pregnancies or a history of preeclampsia in previous pregnancies are more relevant risk factors.
D. A prepregnancy BMI of 19 is within the normal weight range and is not associated with an increased risk of preeclampsia. Obesity or a high BMI is more closely linked to the development of preeclampsia.
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