A nurse reviews the assessment findings and determines the findings are consistent with which of the following complications?
Placenta previa.
Abruptio placentae.
Uterine rupture.
Amniotic fluid embolism.
The Correct Answer is B
Choice A rationale
Placenta previa involves painless vaginal bleeding due to the placenta covering the cervical opening. It does not typically cause significant abdominal pain or the hemodynamic instability described in the scenario.
Choice B rationale
Abruptio placentae is the premature separation of the placenta from the uterine wall, causing severe abdominal pain, vaginal bleeding, and can lead to shock, consistent with the assessment findings.
Choice C rationale
Uterine rupture, often a complication in women with a previous cesarean section, involves the tearing of the uterine wall, causing sudden, severe abdominal pain and bleeding. However, it is less common than placental abruption.
Choice D rationale
Amniotic fluid embolism is a rare but life-threatening condition where amniotic fluid enters the mother's bloodstream, causing cardiovascular collapse and severe respiratory distress, which is less consistent with the described findings.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is D
Explanation
Choice A rationale
Abruptio placentae involves the premature separation of the placenta from the uterus, causing abdominal pain and bleeding. However, the severe left-sided pain and uncertain last menstrual period suggest another condition rather than abruption.
Choice B rationale
Gestational trophoblastic disease is characterized by abnormal growth of trophoblasts, the cells that normally develop into the placenta. It is usually identified by abnormal bleeding and unusually high hCG levels, not the acute symptoms described.
Choice C rationale
Complete abortion refers to the expulsion of all products of conception, typically accompanied by heavy bleeding and cramping. While it involves vaginal bleeding, the severe unilateral pain and low blood pressure suggest a different diagnosis.
Choice D rationale
Ectopic pregnancy, where a fertilized egg implants outside the uterus, typically causes severe unilateral pain and can lead to internal bleeding, resulting in low blood pressure and a high heart rate. These symptoms align with the client's presentation and are a medical emergency.
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