A nurse suspects that a pregnant client may be experiencing placenta abruption based on assessment of which finding? Select all that apply.
Absence of pain
Insidious onset
Dark red vaginal bleeding
Rigid uterus
Correct Answer : C,D,E
Choice A: Absence of pain is not a sign of abruptio placenta. Abruptio placenta is a condition where the placenta separates from the uterine wall before delivery, causing bleeding and pain. The pain is usually severe and constant.
Choice B: Insidious onset is not a sign of abruptio placenta. Abruptio placenta is usually a sudden and acute event that occurs in the third trimester or during labor.
Choice C: Dark red vaginal bleeding is a sign of abruptio placenta. The bleeding is caused by the rupture of blood vessels between the placenta and the uterus. The blood may be dark red because it is old or clotted.
Choice D: Rigid uterus is a sign of abruptio placenta. The uterus becomes hard and tense as a result of the bleeding and contraction of the uterine muscles. This can impair the blood flow to the fetus and cause fetal distress.
Choice E: Absent fetal heart tones is a sign of abruptio placenta. The loss of blood and oxygen to the fetus can cause fetal death or stillbirth. Fetal heart tones can be detected by using a Doppler device or a fetoscope.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A Reason: This is incorrect because maternal diabetes is a condition where the mother has high blood sugar levels during pregnancy. It can cause polyhydramnios, or excess amniotic fluid, not oligohydramnios, or low amniotic fluid.
Choice B Reason: This is correct because fetal anencephaly is a congenital defect where the fetus lacks parts of the brain and skull. It can cause oligohydramnios, as the fetus does not produce enough urine to contribute to the amniotic fluid volume.
Choice C Reason: This is incorrect because placental abruption is a complication where the placenta detaches from the uterine wall before delivery. It can cause bleeding, pain, and fetal distress, but not oligohydramnios.
Choice D Reason: This is incorrect because neural tube defects are congenital defects where the spinal cord or brain does not develop properly. They can cause various neurological problems, but not oligohydramnios.
Correct Answer is ["2"]
Explanation
Step 1: Determine the total daily dose of quetiapine.
- The provider prescribes 50 mg every 12 hours.
- Total daily dose = 50 mg × 2 = 100 mg.
Step 2: Calculate the total dose for 3 days.
- Total dose for 3 days = 100 mg × 3 = 300 mg.
Step 3: Determine the dose per administration.
- The total daily dose is divided into two doses (every 12 hours).
- Dose per administration = 100 mg ÷ 2 = 50 mg.
Step 4: Calculate the number of tablets needed per dose.
- Each tablet is 25 mg.
- Number of tablets per dose = 50 mg ÷ 25 mg = 2 tablets.
Step 5: Confirm the number of tablets to be administered per dose on day 3.
- The dose per administration remains the same each day.
- Therefore, the nurse should administer 2 tablets per dose on day 3.
So, the nurse should administer 2 tablets per dose on day 3.