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 B

Explanation

Placenta previa is a condition where the placenta implants low in the uterus, covering part or all of the cervix. This can cause bleeding and can be dangerous for both the mother and the baby. In cases of placenta previa, a cesarean delivery is necessary to avoid complications. Therefore, it is not safe for the patient to deliver vaginally.

Betamethasone is indicated in delivery anticipated before 34 weeks gestation. Vaginal exams may cause more bleeding in the event of placenta previa.

A. I need to start an American Diabetic Association (ADA) diet“ B. l am at higher risk for a cesarean section delivery C. I am worried about getting diabetes later in life! D. "My baby is more at risk for cardiac defects”

Correct Answer is D

Explanation

While gestational diabetes (GDM) can increase the risk of certain complications for the baby, such as macrosomia (large baby) and hypoglycemia after birth, there is no known increased risk for cardiac defects specifically. The other statements are accurate and appropriate for a client newly diagnosed with GDM.

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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

The nurse is providing education for a patient who has been newly diagnosed with a placenta previa at 37 weeks' gestation. The nurse understands that teaching has not been effective when the patient states:

Correct Answer is B

Explanation

You are counseling a client who was just diagnosed at 29 weeks gestational age of having gestational diabetes (GDM) after completing her 3 hour glucose tolerance test. Which statement regarding GDM by the client is false and indicates additional Counseling is required?

Correct Answer is D

Explanation

A 41-week pregnant multigravida presents in the labor and delivery unit after a nonstress test indicated that her fetus could be experiencing some difficulties in utero. Which diagnostic tool would yield more detailed information about the fetus?

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A 25-year-old woman with Type II Diabetes Mellitus should be educated on all the following regarding preconception care, except:

A nurse is administering a magnesium sulfate infusion for a client with severe preeclampsia. The nurse knows that the goal of magnesium sulfate therapy is to:

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Which client is displaying health literacy at the basic functional level?

The nurse anticipates the vaginal delivery of a client who has been induced for macrosomia. The provider asks the nurse to apply suprapubic pressure. The nurse knows that suprapubic pressure is applied: