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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Sleeping for 6 consecutive hours is not ideal for a 6-day-old newborn, as they should be feeding every 2-3 hours to maintain hydration and adequate nutrition.
B. Breastfeeding every 4 to 5 hours for 5 minutes per breast is too infrequent and brief for a newborn who should be feeding more often and for longer durations.
C. Six to eight wet diapers per day is a good indicator that the newborn is getting enough breast milk, as this indicates appropriate hydration and feeding.
D. Gaining 1 to 2 ounces the first week is below the expected rate of weight gain, which should typically be about 5-7 ounces per week for a newborn.
Correct Answer is B, E, D, F, A, C
Explanation
Meiosis is the process of cell division that reduces the chromosome number by half, resulting in the formation of gametes (sperm and egg). This is the first step in the process of reproduction.
Fertilization occurs when a sperm cell unites with an egg cell to form a zygote. This marks the beginning of the formation of a new organism.
The zygote is the single-cell result of fertilization. It will undergo several mitotic divisions to form a blastocyst.
The blastocyst is a structure formed in the early development of mammals. It possesses an inner cell mass that will eventually develop into the embryo.
Nidation, or implantation, occurs when the blastocyst attaches to the uterine wall.
After implantation, the endometrium is called the decidua, which provides a nourishing environment for the developing embryo.
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