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.

Answer and Explanation

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. .

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Correct Answer is B

Explanation

Choice A rationale

Wearing the seatbelt under the arm is not recommended as it may not distribute the force of a collision evenly and could increase the risk of injury to both the mother and the baby. Proper positioning is crucial for safety.

Choice B rationale

Positioning the lap belt under the abdomen and the shoulder belt between the breasts and above the abdomen minimizes the risk of abdominal trauma and ensures both mother and baby are protected in the event of a collision. This is the recommended positioning for pregnant women.

Choice C rationale

Avoiding a seatbelt during pregnancy is not advised as it significantly increases the risk of injury or death for both the mother and the baby in the event of an accident. Seatbelts are crucial for safety.

Choice D rationale

Removing the seatbelt when driving at a slow speed still poses a significant risk. Even at low speeds, sudden stops or collisions can cause harm to both mother and baby. Consistent seatbelt use is essential.

A. "My twins are at higher risk of twin to twin transfusion because they share a placenta.”. B. "Twin to twin transfusion results in over perfusion to both babies causing circulatory overload and CHF.”. C. "Twin to twin transfusion is very common in all multiple gestation pregnancies.”. D. "My twins are at a lower risk for twin to twin transfusion because they share the placenta.”. .

Correct Answer is A

Explanation

Choice A rationale

Monochorionic-monoamniotic twins share a single placenta and amniotic sac, increasing the risk for twin to twin transfusion syndrome (TTTS). This condition occurs due to unbalanced blood flow through the shared placenta, leading to discrepancies in blood volume between the twins.

Choice B rationale

TTTS does not result in overperfusion to both babies. Instead, it causes one twin (the donor) to become underperfused, leading to anemia and growth restriction, while the other twin (the recipient) becomes overperfused, causing polycythemia and circulatory overload, which can lead to heart failure.

Choice C rationale

TTTS is not very common in all multiple gestation pregnancies; it primarily affects monochorionic twins. In dichorionic twins, each twin has its own placenta, making TTTS highly unlikely.

Choice D rationale

Monochorionic twins sharing a placenta actually increases their risk for TTTS, not lowers it. The shared placenta creates a scenario where blood vessels can cross and lead to uneven blood flow between the twins. .

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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?

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Naxlex Comprehensive Predictor Exams

A nurse is educating a client at the end of her second trimester about car safety.Which statement by the client indicates a correct understanding of the nurse's education?

Correct Answer is B

Explanation

A nurse in a prenatal clinic is discussing the risks of twin to twin transfusion syndrome with an 18 week pregnant client with monochorionic-monoamniotic (mono-mono) twins.Which of the following statements by the client shows an understanding of the education?

Correct Answer is A

Explanation

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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?

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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?