A nurse is admitting a client who is 33 weeks pregnant and diagnosed with placenta previa.
What is the priority nursing action?
Insert an IV catheter.
Administer glucocorticoids.
Apply an external fetal monitor.
Monitor vaginal bleeding.
None
None
The Correct Answer is C
The correct answer is Choice C.
Choice A rationale: Inserting an IV catheter is important for potential fluid and medication administration, but it is not the immediate priority action.
Choice B rationale: Administering glucocorticoids is important for fetal lung maturity in case of preterm birth, but it is not the immediate priority upon admission.
Choice C rationale: Applying an external fetal monitor is the priority action. It allows for continuous monitoring of the fetal heart rate and uterine activity to assess the well-being of the fetus and detect any signs of distress.
Choice D rationale: Monitoring vaginal bleeding is important for managing placenta previa, but it is not the immediate priority. Continuous fetal monitoring takes precedence to ensure fetal safety.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
GTPAL calculation:
Step 1 is: Determine Gravida (G) = 4 pregnancies (1 elective abortion, 1 twin birth, 1 spontaneous abortion, 1 current pregnancy) = G4.
Step 2 is: Determine Term (T) births = 0 (no pregnancies reached 37 weeks).
Step 3 is: Determine Preterm (P) births = 1 (twin birth at 36 weeks) = P1.
Step 4 is: Determine Abortion (A) = 2 (1 elective abortion at 9 weeks, 1 spontaneous abortion at 15 weeks) = A2.
Step 5 is: Determine Living (L) children = 2 (twins) = L2.
The GTPAL status is: G4 T0 P1 A2 L2.
Correct Answer is B
Explanation
Choice A rationale
The symptoms described do not typically align with conditions that would be treated with Prescription A. Prescription A might be used for a different set of symptoms or conditions.
Choice B rationale
The presence of small pinpoint open vesicles and pustules on the labia majora with clear drainage, along with a thick, mucopurulent vaginal discharge, could indicate a sexually transmitted infection or other type of infection. Prescription B might be an antibiotic or antiviral medication to treat the suspected infection.
Choice C rationale
The symptoms described do not typically align with conditions that would be treated with Prescription C. Prescription C might be used for a different set of symptoms or conditions.
Choice D rationale
The symptoms described do not typically align with conditions that would be treated with Prescription D. Prescription D might be used for a different set of symptoms or conditions.
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