A nurse is at the bedside to provide additional education and resources to a client about a new diagnosis.
The client in the OB clinic is visibly upset after their appointment with their provider and states, "My doctor told me that there is something wrong with my placenta and I will have to have a cesarean and hysterectomy when I deliver my baby.”. The nurse plans to provide education about which of the following placenta abnormalities?
Placenta accreta spectrum.
Placenta previa.
Placenta abruption.
Posterior placental location.
The Correct Answer is A
Choice A rationale
Placenta accreta spectrum involves abnormal adherence of the placenta to the uterine wall, leading to complications during delivery and often necessitating a cesarean and possibly a hysterectomy.
Choice B rationale
Placenta previa refers to the placenta covering the cervix, which can cause bleeding but is managed differently.
Choice C rationale
Placenta abruption is the premature separation of the placenta from the uterus, leading to pain and bleeding, managed differently from accreta spectrum.
Choice D rationale
Posterior placental location refers to the position of the placenta in the uterus and does not typically require a cesarean and hysterectomy unless complicated by other factors.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
While rupturing membranes can be a concern, the primary issue with a vaginal exam in the presence of placenta previa is the risk of severe bleeding. This choice is partially correct but not the most accurate answer.
Choice B rationale
With placenta previa, the placenta covers the cervix, and a vaginal exam could easily disrupt it, leading to significant vaginal bleeding. This bleeding can be dangerous for both the mother and the baby, making this the most accurate reason to avoid a vaginal exam.
Choice C rationale
Infection risk is a concern with any invasive procedure, but it is not the primary reason to avoid a vaginal exam in the case of placenta previa. The main concern is the risk of bleeding.
Choice D rationale
Initiating preterm labor is a possible risk with any vaginal exam late in pregnancy, but it is not the primary concern in cases of placenta previa. The main issue is the potential for causing severe bleeding.
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.
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