A nurse is admitting a client at 33 weeks gestation who experienced PPROM 4 hours ago.
The client is asking when her next vaginal exam will be since her first exam revealed she is 2 cm dilated.
Which of the following reasons does the nurse explain for not performing another vaginal exam?
Increases labor progress.
Increases pain.
Increases bleeding.
Increases risk for infection.
The Correct Answer is D
Choice A rationale
Performing another vaginal exam does not directly influence labor progress. Labor can progress naturally without repeated exams, which can introduce unnecessary risk.
Choice B rationale
While vaginal exams can be uncomfortable, pain is not the primary reason to avoid multiple exams, especially when managing potential complications.
Choice C rationale
Vaginal exams might lead to minor bleeding due to irritation, but the risk of bleeding is not a primary concern in this context.
Choice D rationale
The most significant reason to avoid frequent vaginal exams after PPROM is the increased risk of infection. Each exam provides a potential pathway for bacteria to ascend, leading to complications like chorioamnionitis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","D"]
Explanation
Choice A rationale
Vaginal spotting can be an early sign of preterm labor as it may indicate changes in the cervix.
Choice B rationale
Regular contractions occurring every 10 minutes or less suggest the onset of labor.
Choice C rationale
Weight gain is not a sign of preterm labor and is common in normal pregnancy progression.
Choice D rationale
Lower back pain or pelvic pressure can indicate preterm labor as these symptoms reflect changes in the lower uterus and cervix.
Correct Answer is B
Explanation
Choice A rationale
Abdominal pain with no vaginal bleeding is not typically associated with placenta previa. This condition usually involves painless vaginal bleeding as the placenta covers or is near the cervix, not causing abdominal pain without bleeding.
Choice B rationale
Painless red vaginal bleeding is characteristic of placenta previa. The condition occurs when the placenta covers the cervix, leading to painless bleeding as the cervix begins to thin or dilate.
Choice C rationale
Sharp abdominal pain is not a common sign of placenta previa. This symptom is more indicative of conditions such as placental abruption, where the placenta detaches from the uterine wall.
Choice D rationale
Intermittent abdominal pain following the passage of bloody mucus is not typical of placenta previa. This pattern may suggest labor or other complications, not the classic presentation of painless bleeding seen in 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.