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 D
Explanation
a. This is not the correct action for this situation.
b. This is not the correct action for this situation.
c. This is not the correct action for this situation.
d. The patient is experiencing uterine tachysystole, which is defined as more than five contractions in 10 minutes, lasting longer than 90 seconds, or with less than 30 seconds of interval between contractions. This can cause fetal hypoxia and distress, as evidenced by late decelerations in the fetal heart rate tracing. The nurse should stop the oxytocin, increase the IV fluid rate, position the patient on her left side, administer oxygen, and notify the provider.
Correct Answer is D
Explanation
a. Human papillomavirus (HPV) is a viral STI, not bacterial.
b. Herpes simplex is a viral STI, not bacterial.
c. Condyloma lata is a manifestation of secondary syphilis, which is caused by Treponema pallidum, a bacterium, but it is not the most common bacterial STI.
d. Chlamydia is the most common bacterial STI.
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