A nurse is caring for a patient who is in labor at 40 weeks of gestation and reports that she has saturated two perineal pads in the past 30 minutes.
The nurse suspects placenta previa.
What would be an appropriate nursing action in this situation?
Administer a magnesium sulfate infusion.
Initiate pushing.
Prepare for a cesarean birth.
Examination to determine cervical status.
The Correct Answer is C
If a patient in labor at 40 weeks of gestation reports saturating two perineal pads in the past 30 minutes, and placenta previa is suspected, an appropriate nursing action would be to prepare for a cesarean birth. Placenta previa, where the placenta partially or completely covers the cervical opening, can cause significant bleeding and is typically managed with a cesarean delivery to prevent further bleeding and ensure the safety of the mother and baby.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["0504."]
Explanation
To calculate the estimated date of birth (EDB) from the last menstrual period (LMP), follow these steps: Determine the first day of the last menstrual period. In this case, it’s July 27. Count back 3 calendar months from that date, which gives us April 27. Lastly, add 1 year and 7 days to that date. This gives us an EDB of May 4, 2024. So, the EDB in MMDD format is 0504.
Correct Answer is D
Explanation
A. In a cephalic (head-down) presentation, fetal heart tones are typically heard below the umbilicus.
B. A posterior position refers to the fetal back facing the mother's back, but it does not affect the heart tone location significantly.
C. A transverse lie would place the fetal heart tones at the lateral sides of the abdomen, not above the umbilicus.
D. In a frank breech position (buttocks presenting first), fetal heart tones are usually heard above the umbilicus, as the fetal head is positioned in the upper uterus.
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