A nurse is caring for a client who is at 37 weeks of gestation and has placenta previa.
The client asks the nurse why the provider does not do an internal examination.
Which of the following explanations of the primary reason should the nurse provide?
"This could result in profound bleeding.”
"There is an increased risk of introducing infection.”
"This could initiate preterm labor.”
"There is an increased risk of rupture of the amniotic membranes.”.
The Correct Answer is A
The correct answer is choice A.
Choice A rationale:
An internal examination could disturb the placenta and cause profound bleeding, which is a life-threatening condition for both the mother and the fetus.
Choice B rationale:
While there is always a risk of introducing infection during an internal examination, this is not the primary reason to avoid it in a client with placenta previa.
Choice C rationale:
An internal examination could potentially initiate preterm labor, but this is not the primary concern with placenta previa.
Choice D rationale:
While there is a risk of rupture of the amniotic membranes during an internal examination, this is not the primary reason to avoid it in a client with placenta previa.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The correct answer is choice C.
Choice A rationale:
Sitz baths cause perineal vasodilation, not vasoconstriction, and this does not directly affect bleeding.
Choice B rationale:
The duration of a sitz bath does not necessarily correlate with its therapeutic effect.
Choice C rationale:
Sitz baths increase the blood supply to the perineal area, promoting healing and providing relief from discomfort.
Choice D rationale:
Sitz baths do not increase the risk of postpartum infection when done properly.
Correct Answer is C
Explanation
The correct answer is choice C.
Choice A rationale:
Notifying the provider is not necessary in this case as the findings are normal for a client who is 1 hour postpartum.
Choice B rationale:
Increasing the frequency of fundal massage is not necessary as the fundus is firm and at the umbilicus.
Choice C rationale:
The findings are normal for a client who is 1 hour postpartum. The nurse should document the findings and continue to monitor the client. Therefore, this choice is correct.
Choice D rationale:
Encouraging the client to empty her bladder is not necessary in this case as the fundus is midline.
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