A nurse is collecting data from a client who is at 35 weeks of gestation. The nurse should identify that which of the following findings indicates abruptio placentae?

Uterine atony

Polyhydramnios

Painless vaginal bleeding

Board-like abdomen

Answer and Explanation

The Correct Answer is C

A. Uterine atony: This condition refers to the inability of the uterus to contract effectively after childbirth, leading to postpartum hemorrhage. It is not associated with abruptio placentae, which involves the premature separation of the placenta from the uterus.

B. Polyhydramnios: This condition involves an excessive amount of amniotic fluid surrounding the fetus. While it can be associated with various complications, it is not a direct indicator of abruptio placentae.

C. Painless vaginal bleeding: This symptom is more commonly associated with placenta previa, where the placenta covers the cervix. Abruptio placentae typically involves painful bleeding due to the separation of the placenta.

D. Board-like abdomen: This is a classic sign of abruptio placentae. The abdomen becomes rigid and tender due to the accumulation of blood behind the placenta, causing the uterus to contract and become firm.

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Correct Answer is C

Explanation

A: Elastic stockings are used to promote venous return and decrease the risk of thrombosis, but they are not the primary preventive measure against thrombophlebitis.

B: Warm, moist packs may provide comfort and reduce localized swelling, but they do not prevent thrombophlebitis and are not a standard preventive measure.

C: Early and frequent ambulation is the most effective way to prevent thrombophlebitis. It enhances blood flow and prevents stasis, which is a major risk factor for the development of thrombophlebitis.

D: NSAIDs can be used to manage pain and inflammation but are not used as a preventive measure for thrombophlebitis in the postpartum setting.

A. Left calf tenderness B. Moderate lochia rubra C. Urine output of 3,000 mL D. Breast engorgement

Correct Answer is A

Explanation

A. Left calf tenderness can be a sign of deep vein thrombosis (DVT), which is a serious postoperative complication and should be reported to the provider.
B. Moderate lochia rubra is an expected finding after a cesarean birth.
C. A urine output of 3,000 mL is within normal range and does not warrant immediate reporting to the provider.
D. Breast engorgement is an expected finding in the postpartum period, especially if the client is not breastfeeding. It does not require immediate reporting.

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A nurse is collecting data from a client who is at 35 weeks of gestation. The nurse should identify that which of the following findings indicates abruptio placentae?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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