A client who is 36 weeks with a breech presentation and diagnosed with a placenta previa asks the nurse if she can have an external version and deliver vaginally. The best answer by the nurse would be which of the following?
"You are a great candidate for external version. We will schedule it for this week."
"You will have to be in active labor before we do an external version."
"You are not a candidate for external version because you have a placenta previa."
"You are not a candidate for external version because your baby is in a brooch presentation."
The Correct Answer is C
A. External version is not recommended in cases of placenta previa as it can cause hemorrhage or placenta separation.
B. External version is typically not performed in placenta previa because of the risk of bleeding or placental separation.
C. A breech presentation combined with placenta previa is a contraindication for external version, as attempting the version could cause severe complications.
D. The presence of a breech presentation, in this case, is not the primary reason for the inability to perform an external version. The main concern is placenta previa.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. External version is not recommended in cases of placenta previa as it can cause hemorrhage or placenta separation.
B. External version is typically not performed in placenta previa because of the risk of bleeding or placental separation.
C. A breech presentation combined with placenta previa is a contraindication for external version, as attempting the version could cause severe complications.
D. The presence of a breech presentation, in this case, is not the primary reason for the inability to perform an external version. The main concern is placenta previa.
Correct Answer is B
Explanation
A. The high blood volume and Wharton's jelly content in the umbilical cord help protect it from compression.
B. The umbilical cord normally contains two arteries and one vein. A statement suggesting two veins is incorrect and indicates a need for additional teaching.
C. The fetal heart starts to beat around 4 weeks of gestation.
D. A Doppler can detect fetal heartbeats as early as 8-12 weeks.
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