A nurse is caring for a client who has a placenta previa.
Which of the following findings should the nurse expect?

Painless, vaginal bleeding.

Persistent headache.

Uterine hypertonicity.

Firm, rigid abdomen.

Answer and Explanation

The Correct Answer is A

This is the most common symptom of placenta previa and can occur after 20 weeks of gestation.

Choice B is incorrect because a persistent headache is not a known symptom of placenta previa.

Choice C is incorrect because uterine hypertonicity is not a known symptom of placenta previa.

Choice D is incorrect because a ﬁrm, rigid abdomen is not a known symptom of placenta previa.

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Correct Answer is A

Explanation

Magnesium sulfate is used to prevent seizures in women with preeclampsia.
However, taking too much magnesium can be life-threatening to both mother and child.
In women, one of the most common symptoms of magnesium toxicity is muscle weakness12.

Choice B is not an answer because increased fetal movement is not a symptom of magnesium toxicity.
Choice C is not an answer because increased respiratory rate is not a symptom of magnesium toxicity.
Choice D is not an answer because increased urinary output is not a symptom of magnesium toxicity.

A. Cover the umbilical cord with a sterile saline saturated towel. B. Perform a vaginal examination by applying upward pressure on the presenting part. C. Administer oxygen via non-rebreather mask at 8 L/min. D. Initiate an infusion of IV ﬂuids for the client.

Correct Answer is B

Explanation

If a prolapsed cord is identiﬁed, the nurse should perform a vaginal examination and ensure the presenting part is pushed upwards to relieve pressure on the cord.

Choice A) is not correct because while it is important to cover the cord with a sterile saline saturated towel if it has prolapsed externally 1, it is not the next action after calling for assistance and notifying the provider.

Choice C) is not correct because administering oxygen via non-rebreather mask at 8 L/min is not mentioned as an immediate intervention for a prolapsed cord .

Choice D) is not correct because initiating an infusion of IV ﬂuids for the client is not mentioned as an immediate intervention for a prolapsed cord .

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A nurse is caring for a client who has a placenta previa. Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has preeclampsia and is receiving magnesium sulfate. Which of the following clinical findings should the nurse instruct the client to report?

Correct Answer is A

Explanation

A nurse is caring for a client who reports spontaneous rupture of membranes. The nurse observes fetal bradycardia on the FHR tracing and notices that the umbilical cord is protruding. After calling for assistance and notifying the provider, which of the following actions should the nurse take next?

Correct Answer is B

Explanation

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A nurse is caring for a client who has a placenta previa.
Which of the following findings should the nurse expect?