A nurse is caring for a client who is at 32 weeks of gestation.Continuous fetal monitoring and vital signs per protocol are required.
Prepare for cesarean birth.
A nurse reviews the assessment findings and determines the findings are consistent with which of the following complications?
Placenta Previa.
Abruptio Placentae.
Gestational Hypertension.
Preeclampsia.
The Correct Answer is B
Choice A rationale
Placenta previa leads to painless vaginal bleeding when the placenta covers the cervix. It does not typically require continuous fetal monitoring or prepare for cesarean birth based on the findings alone.
Choice B rationale
Abruptio placentae is the premature detachment of the placenta, causing abdominal pain, and can lead to fetal distress. Continuous fetal monitoring and preparation for cesarean birth are consistent with this complication.
Choice C rationale
Gestational hypertension is high blood pressure that develops after 20 weeks of pregnancy but without the presence of protein in the urine or other symptoms of preeclampsia. It would not typically necessitate the measures described.
Choice D rationale
Preeclampsia involves high blood pressure and proteinuria after 20 weeks of gestation and can cause severe complications for both the mother and fetus. However, it does not directly lead to the specific intervention of continuous fetal monitoring and cesarean preparation. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Increasing contraction frequency is not the goal when administering magnesium sulfate. This medication actually works to relax the uterine muscles, thus preventing premature labor contractions.
Choice B rationale
Magnesium sulfate is sometimes used to prevent seizures in clients with preeclampsia, but this is not its primary purpose in the case of preterm labor.
Choice C rationale
Betamethasone or dexamethasone are typically given to improve fetal lung maturity, not magnesium sulfate.
Choice D rationale
Magnesium sulfate provides neuroprotection for the fetus by preventing intraventricular hemorrhage and cerebral palsy in preterm infants.
Correct Answer is A
Explanation
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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