A patient arrives at OB triage with a complaint of vaginal bleeding. The nurse would prioritize all of the following questions during the assessment except:
How many weeks are you?
Are you experiencing any pain?"
When was your last ultrasound?
"Do you plan to have a vaginal or cesarean delivery?"
The Correct Answer is D
The question that the nurse would prioritize the least during the assessment is "Do you plan to have a vaginal or cesarean delivery?" This is because the priority at this point is to determine the urgency of the situation and assess the patient's current condition. The patient's delivery plan can be addressed later after the initial assessment is completed and the patient's stability has been established.
The other questions are all important in determining the cause and severity of the bleeding and the appropriate course of action. The question about the number of weeks is important to determine the gestational age and potential causes of bleeding, as some causes are more common in certain stages of pregnancy. The question about pain can help to determine the possible causes of bleeding and the patient's comfort level. The question about the last ultrasound is important to determine the location of the placenta and whether there are any abnormalities or potential complications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Smoking has been linked to a variety of health issues, including decreased fertility in both men and women. It can cause damage to sperm DNA and reduce sperm motility, which can make it more difficult for sperm to reach and fertilize an egg. Therefore, smoking can contribute to infertility issues. It's important for the man to quit smoking or at least reduce his cigarette consumption to increase his chances of conception with his wife.
Correct Answer is B
Explanation
The readiness for induction of labor is assessed by determining the Bishop score. The Bishop score is a system used to evaluate the cervix for induction of labor readiness. It is based on the assessment of five factors: cervical dilation, cervical effacement, cervical consistency, cervical position, and fetal station. Each factor is scored on a scale of 0 to 3, with a maximum possible score of 15.
The higher the Bishop score, the more favorable the cervix is for induction of labor, and the higher the likelihood of a successful vaginal delivery. A Bishop score of 8 or higher is considered favorable for induction of labor. A low Bishop score may indicate that the cervix is not yet ripe and may need further cervical ripening before induction can be attempted.
The Apgar score is a test used to evaluate a newborn's physical condition at birth, based on five factors: appearance, pulse, grimace, activity, and respiration.
The biophysical profile is a prenatal ultrasound evaluation that assesses fetal well-being by evaluating fetal breathing, fetal movement, fetal tone, amniotic fluid volume, and fetal heart rate. Fetal position is an important consideration during labor, as it can impact the progression and outcome of labor, but it is not used to assess readiness for induction of labor.
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