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 D

Explanation

It is recommended for all diabetic women of childbearing age. (This statement is not entirely accurate as preconception care is recommended specifically for women with diabetes who are considering pregnancy, not all women of childbearing age.)

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

Correct Answer is D

Explanation

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

Correct Answer is A

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?

The nurse is caring for a term gestation pregnant patient who came into the office for an external cephalic version. Which of the following interventions would not be appropriate for this patient?

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:

Caring for a newborn in the neonatal intensive care unit (NICU), the RN states she recently completed a Finnegan score on a newborn. This tool measures which of the following?

Which of the following women is the best candidate for vaginal birth after cesarean (VBAC)?

The postpartum nurse identifies a newborn born to a mother positive for hepatitis B. The nurse reports the birth to the department of health for data collection. This is an example of:

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:

What is the highest priority nursing intervention when admitting a pregnant woman who has experienced a bleeding episode in late pregnancy?