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 A
Explanation
a. The function of the ductus arteriosus is to bypass the lungs in fetal circulation, allowing oxygenated blood from the placenta to be shunted directly to systemic circulation.
b. Ductus arteriosus does not bypass the brain; it specifically bypasses the lungs.
c. Ductus venosus shunts blood away from the liver, not the ductus arteriosus.
d. Ductus arteriosus shunts blood away from the lungs, not the heart itself.
Correct Answer is D
Explanation
a. While this is important, it is not the priority when admitting a pregnant woman who has experienced a bleeding episode in late pregnancy.
b. This is important for managing the bleeding but is not the priority.
c. Monitoring uterine contractions is important, but assessing fetal heart rate (FHR) and maternal vital signs is the priority to determine the status of the fetus and mother.
d. Bleeding in late pregnancy can indicate placental abruption, which is a life- threatening condition for both the mother and the fetus. The nurse should monitor the FHR and maternal vital signs to assess the severity of the bleeding and the fetal and maternal well-being.
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