A woman at 37 weeks of gestation with a history of asthma, after a domestic violence episode is admitted into the emergency room unit. She suddenly experiences increased contraction frequency of every 1 to 2 minutes; dark red vaginal bleeding; and a tense, severe abdomen pain. The nurse suspects the onset of
Select one:
Rupture of the uterus.
Placenta previa.
Eclamptic seizure.
Placental abruption.
Placental abruption.
The Correct Answer is D
a. This is not the correct diagnosis for this situation.
b. This is not the correct diagnosis for this situation.
c. This is not the correct diagnosis for this situation.
d. The sudden onset of increased contraction frequency, dark red vaginal bleeding, and severe abdominal pain are characteristic of placental abruption.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
a. This is not the correct choice because the woman has signs of magnesium toxicity, such as low urine output, high blood pressure, and increased DTR. Continuing the infusion could worsen her condition and put her and the fetus at risk.
b. This is the correct choice because the woman needs to be treated for magnesium toxicity, which is a serious complication of preeclampsia. Stopping the infusion will prevent further accumulation of magnesium in her body and allow her to excrete the excess.
c. This is not the correct choice because it will delay the treatment of magnesium toxicity, which is a medical emergency. The woman's vital signs and symptoms are enough to indicate that she has a high level of magnesium and needs immediate intervention.
d. This is not the correct choice because it will not address the underlying cause of magnesium toxicity, which is the infusion. Oxygen may help with some symptoms, such as respiratory depression, but it will not reverse the effects of magnesium on the nervous system and blood vessels.
Correct Answer is E
Explanation
a. Inevitable abortion is characterized by vaginal bleeding, cramping, and dilated cervical os.
b. Septic abortion is associated with infection and may present with fever, chills, and foul-smelling vaginal discharge.
c. Incomplete abortion involves vaginal bleeding, cramping, and dilation of the cervical os with passage of some products of conception.
d. A missed abortion is when there is no bleeding or cramping, but the pregnancy has stopped developing and there is no fetal heartbeat. The cervix may be closed or slightly open, and the uterus may be smaller than expected for gestational age.
e. Threatened abortion involves vaginal bleeding with a closed cervical os and no passage of products of conception. It signifies a potential abortion, but the pregnancy may continue.
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