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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The correct answer is choice A.
Choice A rationale:
The glucose challenge test is used to check for gestational diabetes during pregnancy. People at average risk of gestational diabetes usually have this test done during the second trimester, generally between 24 and 28 weeks of pregnancy.
Choice B rationale:
This is too early in the pregnancy to screen for gestational diabetes. The body’s response to sugar changes as the pregnancy progresses, so testing is typically done later.
Choice C rationale:
This is still a bit early for the screening. The recommended time is between 24 and 28 weeks of gestation.
Choice D rationale:
This is too late in the pregnancy for the screening. The recommended time is between 24 and 28 weeks of gestation.
Correct Answer is D
Explanation
The correct answer is choice D.
Choice A rationale:
While some mothers with postpartum depression may have thoughts of harming their infant, it’s not the most common manifestation.
Choice B rationale:
Postpartum depression typically begins within the first few weeks after childbirth, not necessarily within 48 hours.
Choice C rationale:
Psychotic behavior is more commonly associated with postpartum psychosis, a rare and severe form of postpartum psychiatric illness, not postpartum depression.
Choice D rationale:
Women with a history of depression are indeed more likely to experience postpartum depression. This is the correct answer.
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