The nurse is teaching a new nurse about the difference between placenta abruptio and placenta previa. Teaching was effective when the new nurse states which of the following statements
"They both have bright red bleeding."
"One can be seen on ultrasound and the other cannot."
"Abruptio may cause severe abdominal pain."
"Placenta previa is treated by induction of labor."
The Correct Answer is C
A. Both placenta abruptio and placenta previa can involve bright red bleeding, though their underlying causes and presentations differ. Therefore, this statement is not entirely accurate.
B. Placenta previa is usually visible on ultrasound, while placenta abruptio is diagnosed based on clinical signs (bleeding, pain) and ultrasound when available.
C. Abruptio placenta can cause severe abdominal pain due to the separation of the placenta from the uterine wall. This is a key distinguishing feature from placenta previa, which typically does not cause pain.
D. Placenta previa is not treated by induction of labor unless it is term and the placenta is low-lying. It is typically managed by planned cesarean delivery.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Sleeping for 6 consecutive hours is not ideal for a 6-day-old newborn, as they should be feeding every 2-3 hours to maintain hydration and adequate nutrition.
B. Breastfeeding every 4 to 5 hours for 5 minutes per breast is too infrequent and brief for a newborn who should be feeding more often and for longer durations.
C. Six to eight wet diapers per day is a good indicator that the newborn is getting enough breast milk, as this indicates appropriate hydration and feeding.
D. Gaining 1 to 2 ounces the first week is below the expected rate of weight gain, which should typically be about 5-7 ounces per week for a newborn.
Correct Answer is C
Explanation
A. While positioning the patient in a knee-chest position may help, the immediate priority is to relieve pressure on the cord.
B. Administering oxygen is important but does not address the primary issue of cord compression.
C. The number one priority in managing a prolapsed cord is to relieve pressure on the cord and prevent fetal hypoxia. The nurse should manually elevate the presenting part of the fetus to reduce cord compression.
D. Obtaining consent for a C-section is important but not the immediate priority in managing a prolapsed cord.
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