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 ["B","E","F"]
Explanation
A. The Glucose Tolerance Test is usually performed later in pregnancy (around 24-28 weeks) to screen for gestational diabetes, so it is not a primary concern at 12 weeks.
B. Given the patient's history of multiple partners and uncertainty about the father, HIV screening is important to prevent mother-to-child transmission and provide early treatment.
C. Urine glucose is typically monitored later in pregnancy for gestational diabetes, but it is not immediately prioritized based on this history.
D. The Rubella Titer is important, but it is less immediately critical than HIV, STDs, or toxoplasmosis, given the patient’s risks.
E. Toxoplasmosis screening is necessary because handling cat litter can expose the mother to the risk of toxoplasmosis, which can harm the fetus.
F. Vaginal cultures for STDs are important given the patient’s multiple partners, as untreated STDs can lead to complications like preterm birth or neonatal infections.
G. Maternal Serum Fetal Alphaprotein is typically used for screening for neural tube defects later in pregnancy and is not an immediate concern.
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.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.