Temp 98.6 (0)
Sp02 98% on RA
What three priority assessments will you make for this patient?
Abdominal girth q 2 hours.
Assess amount of bleeding
Pelvic exam for cervical dilation.
Fetal heart rate patterns
Maternal vital signs
Attach internal fetal scalp electrode.
Correct Answer : B,D,E
A. Abdominal girth is not a primary concern for this patient. Monitoring for signs of abdominal distention and changes in the uterus is more relevant for conditions like preeclampsia or uterine rupture.
B. Assessing the amount of bleeding is essential as vaginal bleeding can indicate serious complications like placental abruption or previa.
C. A pelvic exam is not indicated without signs of cervical change or labor. The priority is to assess for active bleeding and fetal well-being.
D. Fetal heart rate patterns are crucial to assess the status of the fetus, particularly with the concern of placental issues.
E. Maternal vital signs are important to monitor to detect signs of shock or bleeding complications that may not be immediately obvious.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A. Ensuring a calm environment by minimizing excessive stimuli is important for the safety and well-being of the patient.
B. Asking about drug use is essential to understand potential risks and provide appropriate care.
C. Administering sedatives to a combative patient without assessing the situation further could be dangerous. It could harm the patient and fetus, especially if drug use or psychological disorders are suspected.
D. Performing a vaginal exam is necessary to assess bleeding and determine if there are any signs of preterm labor or other complications.
Correct Answer is D
Explanation
A. Tubal damage from hyperglycemia: Hyperglycemia, often seen in diabetes, can affect reproductive health but is more commonly associated with issues like poor implantation or uterine environment rather than direct tubal damage.
B. Tubal damage from migraine headaches: Migraine headaches do not cause direct tubal damage or infertility. They may impact overall health and stress levels but are not linked to structural damage in the reproductive tract.
C. Tubal damage from fibromyalgia: Fibromyalgia is a chronic condition causing widespread pain and fatigue but does not directly cause tubal damage.
D. Tubal damage from PID: Pelvic inflammatory disease is a leading cause of infertility due to the inflammation and scarring it can cause in the fallopian tubes, which can block or damage them, preventing fertilization.
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