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:

"My provider will not perform any vaginal exams or vaginal ultrasounds.

I still have the opportunity to labor and delivery my baby vaginally."

'Biophysical profiles will become important to monitor my baby.

"At this point, I will not need betamethasone to mature my baby's lungs."

Answer and Explanation

The Correct Answer is B

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.

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Correct Answer is B

Explanation

Hydatidiform mole is a rare complication of pregnancy that occurs when the placenta develops into an abnormal mass of cysts rather than a healthy placenta. Signs and symptoms of molar pregnancy may include vaginal bleeding during the first trimester of pregnancy, unusually high levels of hCG, and a uterus that is larger than expected for the gestational age. Hyperemesis gravidarum is also common.

A. descriptive epidemiology B. epidemiological triangle C. incident reporting D. Surveillance

Correct Answer is D

Explanation

Surveillance is the ongoing and systematic collection, analysis, and interpretation of health data for the purpose of monitoring health problems and trends. The Department of Health collects data on reportable diseases, including hepatitis B, to monitor disease incidence and inform public health interventions.

Descriptive epidemiology involves the study of the distribution and determinants of

health-related states or events in populations, while the epidemiological triangle is a model that describes the relationships among the agent, host, and environment in the development of disease.

Incident reporting refers to the documentation of adverse events or errors in healthcare settings.

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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:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is B

Explanation

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:

Correct Answer is D

Explanation

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:

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?

An infant is in the NICU whose mother was addicted to opioids during pregnancy. The nurse knows that the most appropriate nursing intervention to help with the infant's hyperreflexia is:

Excessive blood loss after childbirth can have several causes; the most common is:

Which of the following needs to be considered when using the Health Belief Model (HBM)?

A public health nurse in a large city is planning and developing strategies to disseminate information to residents about infant safe sleep practices. Which of the following best exhibits the nurse's understanding of effective health communication in the community?

The most prevalent clinical manifestation of abruptio placentae (as opposed to placenta previa) is:

The nursery nurse attends the delivery of a post-term infant. Upon initial assessment, the infant is lethargic, has coarse breath sounds and blood gases indicate acidosis. An X-ray shows a honeycomb appearance. These signs are consistent with which complication of the newborn?