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)
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
a. This is an incorrect interpretation of the assessment.
b. This is an incorrect interpretation of the assessment.
c. This is the correct interpretation of the assessment indicating that the labor is progressing well and the baby is descending into the pelvis.
d. This is an incorrect interpretation of the assessment.
Correct Answer is B
Explanation
a. Maternal hypotension is not a common side effect of terbutaline, which is a beta-adrenergic agonist that can cause tachycardia and hypertension.
b. Pulmonary edema is a serious complication of terbutaline therapy, which can cause fluid overload, dyspnea, chest pain, and crackles in the lungs. The nurse should monitor the woman's vital signs, oxygen saturation, urine output, and lung sounds, and report any signs of pulmonary edema to the physician immediately.
c. Fetal bradycardia is not related to terbutaline, which can cause fetal tachycardia.
d. Fetal hypokalemia is also not associated with terbutaline, which can cause maternal hypokalemia due to increased potassium uptake by the cells.
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