A woman who is gravida 3 para 2 enters the intrapartum unit. The most important initial nursing assessments are:
If she has had prenatal care.
Membrane status and her EDD/EDC.
Time of last food intake and fasting blood sugar.
Pain level and birth plan.
The Correct Answer is B
A. Prenatal care history is important but not as urgent as membrane status and estimated delivery date.
B. Membrane status and estimated delivery date are critical for assessing the stage of labor and planning care.
C. Fasting blood sugar is relevant in diabetic patients but not an immediate priority.
D. Pain level and birth plan are important but secondary to assessing labor progress.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. A blood pressure of 94/60 is low but not typically a contraindication for Terbutaline administration.
B. A pulse of 132 is high and could be a sign of tachycardia, which is a known side effect of Terbutaline, potentially making the use of this medication unsafe.
C. Uterine contractions (UCs) every 10 minutes do not indicate any immediate concern or contraindication for Terbutaline.
D. A category 1 FHR is reassuring and would not contraindicate the use of Terbutaline.
Correct Answer is C
Explanation
A. Both placenta abruptio and placenta previa can involve bright red bleeding, though their underlying causes and presentations differ. Therefore, this statement is not entirely accurate.
B. Placenta previa is usually visible on ultrasound, while placenta abruptio is diagnosed based on clinical signs (bleeding, pain) and ultrasound when available.
C. Abruptio placenta can cause severe abdominal pain due to the separation of the placenta from the uterine wall. This is a key distinguishing feature from placenta previa, which typically does not cause pain.
D. Placenta previa is not treated by induction of labor unless it is term and the placenta is low-lying. It is typically managed by planned cesarean delivery.
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