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 C

Explanation

A nurse should report absent deep-tendon reﬂexes to the provider when a client is receiving magnesium sulfate via continuous IV infusion.

This is because reduced tendon reﬂexes can be a side eﬀect of magnesium sulfate use during pregnancy.

Choice A is not correct because a decrease in the frequency of contractions is an expected outcome of magnesium sulfate use as a tocolytic to stop preterm labor.

Choice B is not correct because a urinary output of 35 mL/hr is within the normal range.

Choice D is not correct because an elevated blood pressure is not a known side eﬀect of magnesium sulfate use during pregnancy.

A. Ask the client to lie on her back and with her knees ﬂexed. B. Position one hand around the top of the client's fundus and one hand just above the client's symphysis pubis. C. Rotate the upper hand to massage the client's uterus while using slight downward pressure to compress the fundus. D. Observe the client's perineum for the passage of clots and the amount of bleeding.

Correct Answer is A, B, C, D

Explanation

The correct answer is A, B, C, D.

The nurse should plan to perform the following actions in this order:
A. Ask the client to lie on her back and with her knees ﬂexed.
B. Position one hand around the top of the client’s fundus and one hand just above the client’s symphysis pubis.
C. Rotate the upper hand to massage the client’s uterus while using slight downward pressure to compress the fundus.
D. Observe the client’s perineum for the passage of clots and the amount of
bleeding.
Fundal massage is performed to stimulate uterine contractions and prevent
postpartum hemorrhage.

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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 assessing a client who is at 32 weeks of gestation and is receiving magnesium sulfate via continuous IV infusion. Which of the following findings should the nurse report to the provider?

Correct Answer is C

Explanation

A nurse is preparing to perform a fundal massage for a postpartum client who is experiencing uterine atony. In which order should the nurse plan to perform the following actions?

Correct Answer is A, B, C, D

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?