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A nurse is caring for a client who is at 36 weeks of gestation and who has a suspected placenta previa.
Which of the following findings support this diagnosis?.

Abdominal pain with scant red vaginal bleeding.

Painless red vaginal bleeding.

Increasing abdominal pain with a nonrelaxed uterus.

Intermittent abdominal pain following the passage of bloody mucus.

Answer and Explanation

The Correct Answer is B

The correct answer is choice B.

Choice A rationale:

Abdominal pain with scant red vaginal bleeding is more indicative of placental abruption, not placenta previa.

Choice B rationale:

Painless red vaginal bleeding is a classic sign of placenta previa. This happens because the placenta is covering the cervix, which can lead to bleeding.

Choice C rationale:

Increasing abdominal pain with a nonrelaxed uterus is more indicative of a condition like uterine rupture or labor, not placenta previa.

Choice D rationale:

Intermittent abdominal pain following the passage of bloody mucus is more likely a sign of labor, not placenta previa.

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Correct Answer is D

Explanation

The correct answer is choice D.

Choice A rationale:

While antidepressants can be an effective treatment for postpartum depression, it is not the priority action. The priority is to ensure the safety of the mother and the baby.

Choice B rationale:

Reinforcing postpartum and newborn care discharge teaching is important, but it is not the priority action when a client is showing signs of postpartum depression.

Choice C rationale:

Assisting the family to identify prior use of positive coping skills in family crises can be helpful, but it is not the priority action when a client is showing signs of postpartum depression.

Choice D rationale:

The priority action when a client is showing signs of postpartum depression is to assess for suicidal ideation or thoughts of harming herself or her baby. This is because postpartum depression can lead to thoughts of self-harm or harm to the baby, and immediate intervention is necessary to ensure the safety of both the mother and the baby.

A. Wash the cord daily with mild soap and water. B. Apply petroleum jelly to the cord stump. C. Cover the cord with the diaper. D. Give a sponge bath until the cord stump falls off.

Correct Answer is D

Explanation

The correct answer is choice D.

Choice A rationale:

Washing the cord daily with mild soap and water is not recommended as it can delay healing and increase the risk of infection.

Choice B rationale:

Applying petroleum jelly to the cord stump is not recommended as it can create a moist environment that promotes bacterial growth.

Choice C rationale:

The diaper should be folded down to keep the cord stump dry and exposed to air, which promotes healing.

Choice D rationale:

Giving a sponge bath until the cord stump falls off is recommended to keep the area dry and prevent infection.

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A nurse is caring for a client who is at 36 weeks of gestation and who has a suspected placenta previa.Which of the following findings support this diagnosis?.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a clinic is caring for a client who is 3 weeks postpartum following the birth of a healthy newborn.The client reports feeling "down" and sad, having no energy, and wanting to cry.Which of the following is a priority action by the nurse?.

Correct Answer is D

Explanation

A nurse is teaching a newborn's parent to care for the umbilical cord stump.Which of the following instructions should the nurse include?.

Correct Answer is D

Explanation

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A nurse is caring for a client who is at 36 weeks of gestation and who has a suspected placenta previa.
Which of the following findings support this diagnosis?.