A nurse is caring for a client who is at 36 weeks of gestation and who has a suspected placenta previa.
Which of the following findings support this diagnosis?.
Abdominal pain with scant red vaginal bleeding.
Painless red vaginal bleeding.
Increasing abdominal pain with a nonrelaxed uterus.
Intermittent abdominal pain following the passage of bloody mucus.
The Correct Answer is B
The correct answer is choice B.
Choice A rationale:
Abdominal pain with scant red vaginal bleeding is more indicative of placental abruption, not placenta previa.
Choice B rationale:
Painless red vaginal bleeding is a classic sign of placenta previa. This happens because the placenta is covering the cervix, which can lead to bleeding.
Choice C rationale:
Increasing abdominal pain with a nonrelaxed uterus is more indicative of a condition like uterine rupture or labor, not placenta previa.
Choice D rationale:
Intermittent abdominal pain following the passage of bloody mucus is more likely a sign of labor, not placenta previa.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
The correct answer is choice D.
Choice A rationale:
Cervix dilation of 5 cm with 50% effacement is a sign of active phase of the first stage of labor, not the end of it.
Choice B rationale:
Rupturing of fetal membranes can occur at any time during labor, not specifically at the end of the first stage.
Choice C rationale:
Start of regular contractions is a sign of the onset of labor, not the end of the first stage.
Choice D rationale:
Cervix dilation of 10 cm with 100% effacement indicates the end of the first stage of labor and the beginning of the second stage.
Correct Answer is ["A","E","F"]
Explanation
The correct answers are choices B, E, and F.
Choice A rationale:
Nausea with vomiting during the first trimester is a common symptom of pregnancy and does not need to be reported immediately to the health care provider.
Choice B rationale:
Sudden leakage of fluid during the second trimester could indicate premature rupture of membranes, which can lead to infection and preterm labor. This should be reported immediately.
Choice C rationale:
Urinary frequency in the third trimester is a common symptom of pregnancy due to the growing uterus putting pressure on the bladder.
Choice D rationale:
Backache during the second trimester is a common symptom of pregnancy as the body adjusts to the growing uterus.
Choice E rationale:
Lower abdominal pain with shoulder pain in the first trimester could indicate an ectopic pregnancy, which is a medical emergency and should be reported immediately.
Choice F rationale:
Headache with visual changes in the third trimester could indicate preeclampsia, a serious condition that can lead to seizures, stroke, and other complications. This should be reported immediately.
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