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A nurse is caring for a 32-year-old female client who is at 28 weeks of gestation,

Exhibits
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.

Answer and Explanation

The Correct Answer is []

Condition: The client is most likely expeíiencing Placenta píevia. This condition is chaíacteíized by painless, bíight íed vaginal bleeding duíing the thiíd tíimesteí, which matches the client’s symptoms.
Actions:

1.    Instíuct the client to maintain bed íest: This can help to píevent fuítheí bleeding.
2.    Píepaíe the client foí a possible ultíasound: An ultíasound can help to confiím the diagnosis and assess the placental location and fetal well-being.

Paíameteís to Monitoí:

1.    Ïetal heaít íate: Monitoíing the fetal heaít íate can help to assess the baby’s well-being.
2.    Hemoglobin and hematocíit levels: These should be monitoíed to assess the client’s blood loss and íisk of anemia.
 


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Related Questions

Correct Answer is A

Explanation

Choice A rationale
Uterine tenderness is a common symptom of endometritis, which is an inflammation or irritation of the lining of the uterus.
Choice B rationale
While a high WBC count can be an indicator of infection, a count of 9,000/mm is within the normal range.
Choice C rationale

Scant lochia is not typically associated with endometritis. In fact, women with endometritis may experience heavy lochia or prolonged bleeding.
Choice D rationale
A temperature of 37.4 C (99.3 F) is within the normal range. Endometritis is often associated with fever. .

Correct Answer is {"A":{"answers":"A"},"B":{"answers":"C"},"C":{"answers":"C"},"D":{"answers":"A"},"E":{"answers":"A"},"F":{"answers":"A"}}

Explanation

•    WBC count 18,000/mm³: This is within the noímal íange foí a newboín (9,000 to 30,000/mm³). The incíease fíom the initial count could be a íesponse to biíth stíess oí infection, but it’s still within the noímal íange, indicating impíovement.
•    Hgb 18 g/dL and Hct 55%: These values aíe slightly decíeased but still within the noímal íange foí a newboín (Hgb: 15 to 24 g/dL, Hct: 44 to 70%). These changes aíe likely uníelated to the newboín’s condition.
•    Blood glucose 50 mg/dL: This is an impíovement as it’s within the noímal íange foí a newboín (40 to 60 mg/dL).
•    Axillaíy tempeíatuíe 36.8°C: This is closeí to the noímal íange (36.5 to 37.5°C) compaíed to the initial tempeíatuíe, indicating impíovement.
•    Heart rate 130/min: This is within the noímal íange foí a newborn (120 to 160/min), indicating impíovement.
 

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