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."
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The Web of Causation model would be best for studying the complex relationships among factors that contribute to chronic disease. This model recognizes that chronic diseases result from the interplay of multiple factors at different levels, including individual, environmental, and societal factors. The model illustrates the complexity of these relationships and can help identify potential points for intervention.
Correct Answer is B
Explanation
In some cases, an endocrinologist may also be involved in the management of gestational diabetes. The nurse can anticipate that the client will be diagnosed with gestational diabetes and will be referred to a dietician for dietary modifications and glucose monitoring during the remainder of her pregnancy. Regular prenatal care will also continue, and the healthcare provider may adjust the treatment plan based on the client's individual needs.
However, a diagnosis of Type II diabetes would not be made solely based on a failed GTT during pregnancy, as gestational diabetes is a temporary condition that usually resolves after delivery.
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