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
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 C
Explanation
A. To identify abnormal fetal cells: This is typically the purpose of amniocentesis earlier in pregnancy to check for genetic disorders, not at 34 weeks.
B. To detect metabolic disorders: Metabolic disorders are usually identified through newborn screening after birth rather than through late pregnancy amniocentesis.
C. To determine fetal lung maturity: At 34 weeks gestation, determining fetal lung maturity is critical, especially in cases of preeclampsia, as early delivery might be necessary.
D. To identify the sex of the fetus: The sex of the fetus is usually determined earlier in pregnancy if necessary, not at 34 weeks, and it is not the primary purpose in this context.
Correct Answer is B
Explanation
A. Prenatal care history is important but not as urgent as membrane status and estimated delivery date.
B. Membrane status and estimated delivery date are critical for assessing the stage of labor and planning care.
C. Fasting blood sugar is relevant in diabetic patients but not an immediate priority.
D. Pain level and birth plan are important but secondary to assessing labor progress.
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