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A nurse on an antepartum unit has been caring for a client who is G2 P1 at 34 weeks gestation who has been admitted for vaginal bleeding.

Which action is contraindicated

and what action should the nurse implement ?
Answer and Explanation

The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"B"}

Performing a vaginal examination is contraindicated in cases of unexplained vaginal bleeding, especially if placenta previa is suspected. It could disrupt the placenta, leading to severe hemorrhage.

Since the client is Rh-negative and there is a risk of fetal-maternal hemorrhage, administering RhoGAM is necessary to prevent Rh sensitization, which could affect future pregnancies.

While prenatal counseling is generally beneficial, it is non-essential in the acute management of vaginal bleeding and doesn't directly address the immediate clinical issue.


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Related Questions

Correct Answer is ["A","C","D"]

Explanation

A. Hydrotherapy is a common natural pain relief method during labor, providing comfort through warm water immersion.

B. Leboyer refers to a method of delivery focused on gentler birth practices, but it does not directly address pain control during labor, so it is not typically included in natural childbirth pain management techniques.

C. Focal point with effleurage (gentle massage) is a technique to distract from pain and reduce discomfort during labor.

D. Frequent position changes can help relieve pressure and improve labor progress, offering natural pain management during childbirth.

Correct Answer is ["A","B","E"]

Explanation

A. Monitoring oxygen saturation is important to assess respiratory status, as epiglottitis can cause airway obstruction.

B. Droplet precautions are required for Haemophilus influenzae type B to prevent transmission.

C. Inspecting the epiglottis is contraindicated as it can trigger airway spasm and worsen obstruction.

D. A throat culture is not appropriate in a child with suspected epiglottitis due to the risk of airway obstruction. The diagnosis is typically confirmed through other methods, such as imaging.

E. IV access should be established to provide fluids and medications, especially if the child requires emergency interventions.

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