A nurse on an antepartum unit has been caring for a client who is G2 P1 at 34 weeks gestation who has been admitted for vaginal bleeding.
Which action is contraindicated
The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"B"}
Performing a vaginal examination is contraindicated in cases of unexplained vaginal bleeding, especially if placenta previa is suspected. It could disrupt the placenta, leading to severe hemorrhage.
Since the client is Rh-negative and there is a risk of fetal-maternal hemorrhage, administering RhoGAM is necessary to prevent Rh sensitization, which could affect future pregnancies.
While prenatal counseling is generally beneficial, it is non-essential in the acute management of vaginal bleeding and doesn't directly address the immediate clinical issue.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Tubal damage from hyperglycemia: Hyperglycemia, often seen in diabetes, can affect reproductive health but is more commonly associated with issues like poor implantation or uterine environment rather than direct tubal damage.
B. Tubal damage from migraine headaches: Migraine headaches do not cause direct tubal damage or infertility. They may impact overall health and stress levels but are not linked to structural damage in the reproductive tract.
C. Tubal damage from fibromyalgia: Fibromyalgia is a chronic condition causing widespread pain and fatigue but does not directly cause tubal damage.
D. Tubal damage from PID: Pelvic inflammatory disease is a leading cause of infertility due to the inflammation and scarring it can cause in the fallopian tubes, which can block or damage them, preventing fertilization.
Correct Answer is D
Explanation
A. Regular temperature checks monitor for infection.
B. Betamethasone promotes fetal lung maturity.
C. Fetal monitoring is standard for assessing wellbeing.
D. Frequent vaginal exams increase infection risk and should be minimized
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