The nurse is preparing discharge instructions for a stable patient with a placenta previa. Instructions should include all of the following except:

Return to the hospital at onset of next bleeding episode

Strict bedrest

Pelvic rest until delivery

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Answer and Explanation

The Correct Answer is B

Bedrest is no longer recommended as it does not improve outcomes and may increase the risk of complications such as thromboembolism and pneumonia. Instead, patients with a placenta previa should be advised to avoid activities that may increase pelvic pressure, such as sexual intercourse, heavy lifting, and strenuous exercise. The other options are appropriate instructions to include in the patient's discharge plan.

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Correct Answer is D

Explanation

The most common cause of excessive blood loss after childbirth is the failure of the uterine muscle to contract firmly, which is also known as uterine atony. If the uterus does not contract effectively after delivery, it cannot properly close off the blood vessels that were connected to the placenta, leading to heavy bleeding. Uterine atony can occur due to various factors, such as prolonged labor, multiple births, or the use of certain medications during labor.
Other causes of excessive blood loss after childbirth include retained placental fragments, vaginal or vulvar hematomas, or unrepaired lacerations of the vagina or cervix, but these are less common than uterine atony.

A. A G3P2 whose youngest child is 3 years old. B. A G2P1 who has had one prior lower transverse cesarean section. C. A CS4 who has had three prior lower transverse cesarean sections. D. AG4P3 whose last baby was born at term gestation.

Correct Answer is C

Explanation

A CS4 who has had three prior lower transverse cesarean sections is at the highest risk for uterine rupture. The risk of uterine rupture increases with each subsequent cesarean section, and a history of three or more prior lower transverse cesarean sections is considered a significant risk factor for uterine rupture.

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The nurse is preparing discharge instructions for a stable patient with a placenta previa. Instructions should include all of the following except:

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Naxlex Comprehensive Predictor Exams

Excessive blood loss after childbirth can have several causes; the most common is:

Correct Answer is D

Explanation

Which of the following patients is most at risk for uterine rupture?

Correct Answer is C

Explanation

Which of the following women is the best candidate for vaginal birth after cesarean (VBAC)?

The nurse is providing education for a patient who has been newly diagnosed with a placenta previa at 37 weeks' gestation. The nurse understands that teaching has not been effective when the patient states:

You are the Special Care Nursery nurse reviewing the chart of a 36-hour-old neonate who was born at 36 weeks. Do you understand which of the following would place the neonate at risk for physiologic jaundice?

The most prevalent clinical manifestation of abruptio placentae (as opposed to placenta previa) is:

Which of the following needs to be considered when using the Health Belief Model (HBM)?

Readiness for induction of labor is assessed by determining the:

Caring for a newborn in the neonatal intensive care unit (NICU), the RN states she recently completed a Finnegan score on a newborn. This tool measures which of the following?

The nurse is caring for a 30-week gestation client who was loaded on a magnesium sulfate infusion one hour ago for preterm labor. Which of the following assessment findings would warrant the infusion to be discontinued immediately?