The nurse is preparing discharge instructions for a stable patient with a placenta previa. Instructions should include all of the following except:

Return to the hospital at onset of next bleeding episode

Strict bedrest

Pelvic rest until delivery

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Answer and Explanation

The Correct Answer is B

Bedrest is no longer recommended as it does not improve outcomes and may increase the risk of complications such as thromboembolism and pneumonia. Instead, patients with a placenta previa should be advised to avoid activities that may increase pelvic pressure, such as sexual intercourse, heavy lifting, and strenuous exercise. The other options are appropriate instructions to include in the patient's discharge plan.

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Correct Answer is C

Explanation

In the case of a bioterrorism attack involving anthrax, the main priority for the nurse is to administer antibiotics within 48 hours of exposure using the Strategic National Stockpile. Anthrax is a serious bacterial infection that can be used as a bioterrorism weapon. Antibiotics, such as ciprofloxacin, doxycycline, and penicillin, can be used to prevent anthrax from developing in people who have been exposed.

There is currently no vaccine available for anthrax exposure. Also, symptom support alone is not enough in cases of anthrax exposure, as anthrax can progress rapidly and lead to serious complications. Placing everyone who was exposed in quarantine may not be necessary in all situations, and should be determined on a case-by-case basis depending on the extent and severity of the exposure.

A. History of cesarean section for fetal distress. B. Fear of natural childbirth. C. Current pregnancy is complicated by gestational diabetes. D. History of cephalopelvic disproportion with first pregnancy.

Correct Answer is A

Explanation

A history of cesarean section for fetal distress is an indication for a repeat cesarean section in subsequent pregnancies, as the risk of recurrence of fetal distress is higher. A trial of labor after cesarean (TOLAC) may be attempted in some cases, but a planned cesarean section is often recommended.
Option B is incorrect because fear of natural childbirth is not a medical indication for a cesarean section.
Option C is incorrect because gestational diabetes does not typically require a cesarean section unless other complications arise, such as fetal macrosomia or failed induction of labor.
Option D is incorrect because a history of cephalopelvic disproportion with the first pregnancy may not necessarily require a cesarean section in subsequent pregnancies. A trial of labor may be attempted, depending on the circumstances.

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The nurse is preparing discharge instructions for a stable patient with a placenta previa. Instructions should include all of the following except:

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Naxlex Comprehensive Predictor Exams

A bioterrorism attack occurred locally in which people were exposed to anthrax. As the nurse, you understand the main priority would be:

Correct Answer is C

Explanation

A cesarean section would be most appropriate for which of the following clients?

Correct Answer is A

Explanation

On examining a woman who gave birth 5 hours ago, the nurse finds that the woman has completely saturated a perineal pad within 15 minutes. The nurse's first action is to:

The NICU nurse observes the parents of a newborn admitted two days ago for prematurity. The nurse knows infection prevention education has been effective when which observation is made:

A nursery nurse is performing a shift assessment on a baby who was born 8 hours ago via a vacuum-assisted vaginal birth and notices caput succedaneum. Which of the following statements regarding caput succedaneum is correct?

A G2P1 pregnant patient presents in clinic for her 10-week prenatal visit. Which of the following findings could indicate a hydatidiform mole?

The nurse is caring for a 30-week gestation client who was loaded on a magnesium sulfate infusion one hour ago for preterm labor. Which of the following assessment findings would warrant the infusion to be discontinued immediately?

The nurse is preparing discharge instructions for a stable patient with a placenta previa. Instructions should include all of the following except:

Which of the following methods would be best if the nurse wanted to study the complex relationships among factors that contribute to chronic disease?