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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Related Questions
Correct Answer is ["A","B","C","D"]
Explanation
A. Turning the patient to her side can improve placental blood flow and alleviate pressure on the umbilical cord, which is often the cause of late decelerations.
B. Providing oxygen can help improve oxygenation to the fetus, especially if the decelerations are due to uteroplacental insufficiency.
C. Notifying the healthcare provider is essential to address the situation promptly and determine whether further interventions or a change in labor management is necessary.
D. Stopping oxytocin can reduce uterine contractions and prevent further stress on the fetus, especially if the late decelerations are linked to uterine hyperstimulation.
Correct Answer is A
Explanation
A. Abruptio placenta and preeclampsia are risk factors for DIC, a serious complication that can lead to bleeding and clotting issues, including petechiae and oozing from IV sites.
B. A 4100 gm baby (large baby) is not a risk factor for DIC in the immediate postpartum period.
C. Having five children does not increase the risk for DIC.
D. Hyperemesis gravidarum is not related to the development of DIC.
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