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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. External version is not recommended in cases of placenta previa as it can cause hemorrhage or placenta separation.
B. External version is typically not performed in placenta previa because of the risk of bleeding or placental separation.
C. A breech presentation combined with placenta previa is a contraindication for external version, as attempting the version could cause severe complications.
D. The presence of a breech presentation, in this case, is not the primary reason for the inability to perform an external version. The main concern is placenta previa.
Correct Answer is D
Explanation
A. Regular temperature checks monitor for infection.
B. Betamethasone promotes fetal lung maturity.
C. Fetal monitoring is standard for assessing wellbeing.
D. Frequent vaginal exams increase infection risk and should be minimized
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