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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 A

Explanation

The correct answer is choice A.

Choice A rationale:

Variable decelerations are associated with problems with the umbilical cord, such as compression. This is because they occur irregularly and can happen at any time during the contraction cycle.

Choice B rationale:

Early decelerations are usually benign and are associated with fetal head compression during a uterine contraction. They are not typically indicative of a problem with the umbilical cord.

Choice C rationale:

Accelerations are usually a sign of fetal well-being and are not typically associated with umbilical cord issues.

Choice D rationale:

Late decelerations are associated with uteroplacental insufficiency, which is a decrease in the blood flow to the placenta that reduces the amount of oxygen and nutrients transferred to the fetus. They are not typically indicative of a problem with the umbilical cord.

A. Vitamin K. B. Erythromycin ophthalmic ointment. C. Gentamicin ophthalmic ointment. D. Silver nitrate solution.

Correct Answer is B

Explanation

The correct answer is choice B.

Choice A rationale:

Vitamin K is given to newborns to prevent bleeding disorders, not eye conditions.

Choice B rationale:

Erythromycin ophthalmic ointment is commonly used for prophylaxis of neonatal conjunctivitis (pink eye) caused by Neisseria gonorrhoeae and Chlamydia trachomatis.

Choice C rationale:

Gentamicin ophthalmic ointment can be used to treat bacterial infections of the eye, but it is not typically used for prophylaxis of neonatal eye conditions.

Choice D rationale:

Silver nitrate solution was once used for prophylaxis of neonatal eye conditions, but it is no longer commonly used due to the risk of chemical conjunctivitis.

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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

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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?.