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A nurse is assisting with the care of a client who is at 28 weeks of gestation.

Exhibits

Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.

Answer and Explanation

The Correct Answer is []

- Potential Condition: Placenta previa

  - This condition is characterized by the placenta covering the cervix, which can lead to painless, bright red vaginal bleeding during the second or third trimester.

- Actions to Take:

  1. Insert a large-bore peripheral IV catheter.

     - This is a precautionary measure to ensure that there is immediate venous access for fluid and blood product administration if necessary.

  2. Reinforce with the client to maintain bed rest.

     - Limiting physical activity can help reduce the risk of further bleeding.

- Parameters to Monitor:

  1. Vaginal bleeding

     - Monitoring the amount, color, and frequency of bleeding is crucial to assess the ongoing blood loss and stability of the condition.

  2. Fetal well-being

     - Regular monitoring of fetal heart rate and movement is important to ensure the fetus is not in distress.


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Related Questions

Correct Answer is A

Explanation

A. The Papanicolaou (Pap) test is used to detect abnormal cells on the cervix that could indicate cervical cancer or precancerous changes. It is a screening tool for early detection of cervical cancer and helps prevent the disease from developing.
B. The Pap test does not detect endometriosis. Endometriosis is a condition where tissue similar to the lining of the uterus grows outside the uterus, and it requires different diagnostic methods such as laparoscopy.
C. The Pap test does not allow for the removal of uterine fibroids. Uterine fibroids are diagnosed and managed through other procedures, such as hysteroscopy or surgical removal.
D. The Pap test does not determine ovulation status. Ovulation status is assessed through methods like ovulation predictor kits or monitoring basal body temperature.

Correct Answer is C,E,A,B,D

Explanation

1. Wrap a warm, moist cloth around the heel to dilate the blood vessels, which makes it easier to obtain the blood sample.

2. Cleanse the heel with an antiseptic to reduce the risk of infection at the puncture site.

3. Puncture the heel and collect the blood, ensuring that the sample is adequate for the test.

4. Apply pressure with a dry gauze pad to stop the bleeding from the puncture site.

5. Cover the heel with an adhesive bandage to protect the area and minimize the risk of infection.

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