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."

Answer and Explanation

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.

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Correct Answer is C

Explanation

Mom's blood type is A-negative, and baby's blood type is O-positive would place the neonate at risk for physiologic jaundice due to Rh incompatibility. When mom is Rh-negative and baby is Rh-positive, the mother's immune system can create antibodies that attack the baby's red blood cells, leading to the destruction of red blood cells and subsequent release of bilirubin, which can result in jaundice.

A. Verify the patient's blood type and prepare RhoGAM † necessary. B. Have the patient ambulate before the procedure to see if the baby will turn. C. Have the patient empty her bladder before the procedure. D. Assess for contractions and fetal heart rate pattern before the procedure.

Correct Answer is B

Explanation

The patient should not be ambulating before the procedure as this may cause fetal descent and prevent the success of the version. The other interventions listed are appropriate and important for the safety and well-being of the patient and the fetus during the procedure.

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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:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is C

Explanation

The nurse is caring for a term gestation pregnant patient who came into the office for an external cephalic version. Which of the following interventions would not be appropriate for this patient?

Correct Answer is B

Explanation

Educating a client about starting nifedipine (Procardia) for preterm labor prevention, the nurse knows that her educational plan for this client should include which of the following?

You are counseling a client who was just diagnosed at 29 weeks gestational age of having gestational diabetes (GDM) after completing her 3 hour glucose tolerance test. Which statement regarding GDM by the client is false and indicates additional Counseling is required?

Which of the following complications is not associated with cesarean births?

The most common indication for a vacuum-assisted delivery is:

A 41-week pregnant multigravida presents in the labor and delivery unit after a nonstress test indicated that her fetus could be experiencing some difficulties in utero. Which diagnostic tool would yield more detailed information about the fetus?

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

During this phase of a disaster, evaluation of the disaster plan and cleanup of the area are hallmark activities.

A nurse is developing goals for a community education program. Which of the following methods should be used?