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 D

Explanation

Perineal hematoma is a complication that can occur after vaginal births, typically due to trauma or injury to the perineum during delivery. Wound dehiscence, UTIs, and DVTs are all possible complications associated with cesarean births. Wound dehiscence is a separation of the layers of the surgical incision, UTIs can occur due to catheterization during the surgery, and DVTs can occur due to immobility during the recovery period.

A. Your respiratory rate may slow down, so make sure to monitor your breathing rate! B. You will most likely be hospitalized until delivery while on your medication C. You should try to get up slowly and drink plenty of fluids D. You will stop this medication at 28 weeks.

Correct Answer is C

Explanation

Nifedipine is a calcium channel blocker that can cause hypotension as a side effect, so the client should be advised to rise slowly from a sitting or lying position to avoid dizziness or fainting. The client does not necessarily need to be hospitalized and should continue taking the medication until a healthcare provider advises otherwise. The medication is typically continued until around 36-37 weeks gestation. There is no need to monitor respiratory rate with this medication.

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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

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

Correct Answer is D

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?

Correct Answer is C

Explanation

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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:

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