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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Abruptio placenta and preeclampsia are risk factors for DIC, a serious complication that can lead to bleeding and clotting issues, including petechiae and oozing from IV sites.
B. A 4100 gm baby (large baby) is not a risk factor for DIC in the immediate postpartum period.
C. Having five children does not increase the risk for DIC.
D. Hyperemesis gravidarum is not related to the development of DIC.
Correct Answer is C
Explanation
A. Pitocin is used to induce or augment labor but is not indicated specifically for a GBS-positive patient.
B. Azithromycin is used for treating chlamydia, not for group B streptococcus (GBS).
C. Penicillin G is the recommended treatment for GBS-positive mothers during labor to prevent neonatal infection. It is administered intravenously.
D. Magnesium Sulfate is used for pre-eclampsia or preterm labor, not for GBS prevention.
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