A 35-year-old pregnant woman with irregular periods, G4 T2 PO A1 L2 is 28 weeks pregnant by the last ultrasound, when she experiences bright red and painless vaginal bleeding, fetal contour is easily assessed, and uterine tone is normal. On her arrival at the hospital, what would be an expected diagnostic procedure or test to confirm the diagnosis?

Select one:

Vaginal Ultrasound for placental location

Amniocentesis for fetal lung maturity

Abdominal Ultrasound for placental location

Contraction stress test (CST)

Answer and Explanation

The Correct Answer is A

a.   This would help determine the location of the placenta and whether placenta previa is present, which can cause painless vaginal bleeding.
b.   This is not typically done for diagnosis of painless vaginal bleeding.
c.   While an abdominal ultrasound can also determine the location of the placenta, a vaginal ultrasound is more accurate for this purpose.
d.   This is not typically done for diagnosis of painless vaginal bleeding.

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Correct Answer is D

Explanation

a. This is not the correct response for this situation.

b. This is not the correct response for this situation.

c. This is not the correct response for this situation.

d. An ultrasound is typically performed prior to an amniocentesis to identify the location of the placenta and fetus to avoid injury during the procedure.

A. Multipara B. Primipara. C. Nullipara D. Nulligravida.

Correct Answer is C

Explanation

a. Multipara refers to a woman who has given birth to two or more children.

b. Primipara refers to a woman who has given birth to one child.

c. Nullipara refers to a woman who has never given birth.

d. Nulligravida refers to a woman who has never been pregnant.

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Naxlex Comprehensive Predictor Exams

A nurse in a provider's office is caring for a client who is at 36 weeks of gestation and scheduled for an amniocentesis. The client asks why she is having an ultrasound prior to the procedure. Which of the following is an appropriate response by the nurse?

Correct Answer is D

Explanation

A woman who has five pregnancies with a fetus (or fetuses) not reaching the stage of fetal viability beyond 20 weeks is known as: Select one:

Correct Answer is C

Explanation

Through vaginal examination, the nurse determines that the woman is 8 cm dilated, and the external fetal monitor shows uterine contractions every 3 minutes and a duration of 50 seconds. The nurse would report these findings as:

A nurse in a prenatal clinic overhears a newly licensed nurse discussing conception with a client. Which of the following statements by the newly licensed nurse requires intervention by the nurse?

A nurse in a community clinic is counseling a client who received a positive test result for chlamydia. Which of the following statements should the nurse provide?

A pregnant woman's amniotic membranes rupture. Prolapsed umbilical cord is suspected. What intervention would be the top priority? Select one:

Metabolic changes throughout pregnancy that affect glucose and insulin in the mother and the fetus are complicated but its important to understand. Nurses should understand that: Select one:

A woman with preeclampsia has a seizure. The nurse's primary duty during the seizure is to: Select one:

A woman at 10 weeks of gestation who is seen in the prenatal clinic with presumptive signs and symptoms of pregnancy likely will have: