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:
"My provider will not perform any vaginal exams or vaginal ultrasounds.
I still have the opportunity to labor and delivery my baby vaginally."
'Biophysical profiles will become important to monitor my baby.
"At this point, I will not need betamethasone to mature my baby's lungs."
The Correct Answer is B
Placenta previa is a condition where the placenta implants low in the uterus, covering part or all of the cervix. This can cause bleeding and can be dangerous for both the mother and the baby. In cases of placenta previa, a cesarean delivery is necessary to avoid complications. Therefore, it is not safe for the patient to deliver vaginally.
Betamethasone is indicated in delivery anticipated before 34 weeks gestation. Vaginal exams may cause more bleeding in the event of placenta previa.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is C
Explanation
The most common indication for a vacuum-assisted delivery is a prolonged second stage of labor, which means that the mother has been pushing for an extended period without effective descent of the fetal head. The vacuum can help to provide traction to the fetal head and assist with delivery.
Option A is incorrect because a vacuum-assisted delivery is not indicated for the prevention of fetal abnormalities.
Option B is incorrect because a vacuum-assisted delivery is not indicated for the prevention of maternal hemorrhage.
Option D is incorrect because a prolonged first stage of labor is not an indication of
vacuum-assisted delivery. In this case, other interventions, such as augmentation of labor with oxytocin, may be used.
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