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

Assessing fetal heart rate (FHR) and maternal vital signs

Performing a venipuncture for hemoglobin and hematocrit levels

Monitoring uterine contractions

Placing clean disposable pads to collect any drainage

Answer and Explanation

The Correct Answer is A

Assessing fetal heart rate (FHR) and maternal vital signs would be the highest priority nursing intervention when admitting a pregnant woman who has experienced a bleeding episode in late pregnancy. This is because fetal distress or maternal instability may require immediate medical intervention, such as delivery via emergency cesarean section or blood transfusions, respectively.

Therefore, assessing the FHR and maternal vital signs will help to determine the urgency of the situation and guide the next steps in the management of the patient. Once the patient's condition has stabilized, performing venipuncture for hemoglobin and hematocrit levels, monitoring uterine contractions, and placing clean disposable pads to collect any drainage can be done as appropriate.

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Correct Answer is B

Explanation

Cervidil (dinoprostone) is a medication used to ripen the cervix in preparation for labor induction in women who are at or near term.

Cervidil contains a synthetic form of prostaglandin E2, which helps to soften and thin the cervix, making it easier to dilate and efface during labor. The medication is usually administered vaginally, in the form of a small, flat, rectangular-shaped insert that is placed near the cervix.

The medication is released slowly over time, helping to ripen the cervix gradually.

Cervidil is not used to stimulate the amniotic membranes to rupture, enhance uteroplacental perfusion in an aging placenta, or increase amniotic fluid volume.

A. Return to the hospital at onset of next bleeding episode B. Strict bedrest C. Pelvic rest until delivery D. Resources for online support groups

Correct Answer is B

Explanation

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Cervidil (dinoprostone) has been ordered for a pregnant woman at 42 weeks of gestation. The nurse recognizes that this medication will be administered to:

Correct Answer is B

Explanation

The nurse is preparing discharge instructions for a stable patient with a placenta previa. Instructions should include all of the following except:

Correct Answer is B

Explanation

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