A nurse has been assigned to assess a pregnant client for abruptio placenta.
For which classic manifestation of this condition should the nurse assess?.
Generalized vasospasm.
Painless bright red vaginal bleeding.
"Knife-like" abdominal pain with vaginal bleeding.
Increased fetal movement.
The Correct Answer is C
The correct answer is choice C.
Choice A rationale:
Generalized vasospasm is not a symptom of abruptio placenta. It is more associated with conditions like preeclampsia.
Choice B rationale:
Abruptio placenta is usually associated with painful dark red vaginal bleeding, not painless bright red bleeding.
Choice C rationale:
“Knife-like” abdominal pain with vaginal bleeding is a classic symptom of abruptio placenta.
Choice D rationale:
Increased fetal movement is not a symptom of abruptio placenta. In fact, fetal movement may decrease due to distress.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The correct answer is choice A.
Choice A rationale:
The GTPAL system stands for Gravida, Term, Preterm, Abortions, and Living children. In this case, the woman has been pregnant 4 times (Gravida 4), has had one term birth (Term 1), one preterm birth (Preterm 1), one abortion/miscarriage (Abortions 1), and one living child (Living 1). Therefore, the correct classification is 4, 1, 1, 1, 1.
Choice B rationale:
This choice incorrectly classifies the number of pregnancies (Gravida should be 4, not 3) and does not account for the preterm birth or the number of living children.
Choice C rationale:
This choice overcounts the number of term births and living children.
Choice D rationale:
This choice incorrectly classifies the number of pregnancies (Gravida should be 4, not 3) and overcounts the number of living children.
Correct Answer is C
Explanation
The correct answer is choice C.
Choice A rationale:
While Vitamin E is important for many bodily functions, it is not the primary supplement recommended to prevent neural tube defects.
Choice B rationale:
Calcium is crucial for bone health, but it does not play a direct role in preventing neural tube defects.
Choice C rationale:
Folic acid is recommended for all people capable of becoming pregnant to consume 400 micrograms (mcg) daily to prevent neural tube defects (NTDs)3.
Choice D rationale:
Iron is important for preventing anemia, especially during pregnancy, but it does not prevent neural tube defects.
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