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 A
Explanation
Collaborating with local businesses to offer healthy food options is an example of a public health nurse working upstream. Upstream interventions target the root causes of health problems, rather than simply treating the symptoms. Collaborating with local businesses to offer healthy food options addresses the root cause of poor nutrition and related health problems, rather than simply providing health screenings, education, or referrals which are downstream interventions that aim to address the symptoms of poor health.
Correct Answer is A
Explanation
Based on the provided information, the probable diagnosis for the spontaneous abortion in this woman would be a threatened abortion, since the cervix is closed and there is no evidence of expulsion of fetal or placental tissue. A threatened abortion is defined as vaginal bleeding occurring before the 20th week of gestation, with a closed cervical os, and no expulsion of fetal or placental tissue.
The other types of spontaneous abortion are defined as follows:
B. Inevitable abortion: vaginal bleeding and cramping with an open cervical os, with or without expulsion of fetal or placental tissue
C. Missed abortion: fetal demise without expulsion of fetal tissue, and may be associated with a closed cervical os and absence of uterine contractions
D. Incomplete abortion: partial expulsion of fetal or placental tissue, with or without vaginal bleeding, and may be associated with an open cervical os and uterine contractions
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