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A nurse is caring for a 30-year-old female client who is gravida 4, para 3, at 32 weeks of gestation in the antepartum clinic.

Exhibits

A nurse reviews the assessment findings and determines the findings are consistent with which of the following complications?

A.

Abdominal assessment

B.

Abdominal pain level

C.

Uterine tone

D.

Description of bleeding

Answer and Explanation

The Correct Answer is {"A":{"answers":"B"},"B":{"answers":"B"},"C":{"answers":"B"},"D":{"answers":"A"}}

Based on the assessment findings, the nurse determines that the findings are consistent with abruptio placentae (placental abruption)1.

Here's a breakdown of the findings:

  • Abdominal assessment: Rigid and tender abdomen21.
  • Abdominal pain level: The client reports abdominal pain21.
  • Uterine tone: No evidence of uterine contractions21.
  • Description of bleeding: Dark red vaginal bleeding21.

Placental abruption is characterized by the placenta partially or completely separating from the uterine wall before delivery, which can cause painful bleeding and a rigid, tender abdomen21

Here's a table with the assessment findings, indicating which findings are consistent with placenta previa and abruptio placentae:

Assessment Findings

Placenta Previa

Abruptio Placentae

Abdominal assessment

  

✔

Abdominal pain level

  

✔

Uterine tone

  

✔

Description of bleeding

✔

✔


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Related Questions

Correct Answer is ["50"]

Explanation

Step 1: Calculate the concentration of magnesium sulfate. 20g ÷ 500mL = 0.04g/mL.

Step 2: Determine the required dose in grams per hour. 2g ÷ 1h = 2g/h

Step 3: Calculate the volume to be infused per hour. 2g ÷ 0.04g/mL = 50mL/h

Answer: 50mL/h

Correct Answer is A

Explanation

Choice A rationale

Intraamniotic infection (chorioamnionitis) is suspected due to the combination of prolonged rupture of membranes (25 hours), maternal fever (39.2°C), and fetal tachycardia (baseline of 175 bpm). These are key indicators of infection within the amniotic sac.

Choice B rationale

Pyelonephritis, an infection of the kidneys, is unlikely without the presence of symptoms such as flank pain, dysuria, and significant changes in urinalysis. The primary signs point towards intraamniotic infection.

Choice C rationale

Cholestasis of pregnancy primarily presents with intense itching, especially on the hands and feet, and does not typically involve fever or abnormal fetal heart rates. Thus, it is less likely in this scenario.

Choice D rationale

Placental abruption involves the separation of the placenta from the uterine wall before delivery, often presenting with abdominal pain, vaginal bleeding, and uterine contractions. The absence of these symptoms makes this diagnosis less likely.

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