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 ["A","B","C","D"]
Explanation
A. Turning the patient to her side can improve placental blood flow and alleviate pressure on the umbilical cord, which is often the cause of late decelerations.
B. Providing oxygen can help improve oxygenation to the fetus, especially if the decelerations are due to uteroplacental insufficiency.
C. Notifying the healthcare provider is essential to address the situation promptly and determine whether further interventions or a change in labor management is necessary.
D. Stopping oxytocin can reduce uterine contractions and prevent further stress on the fetus, especially if the late decelerations are linked to uterine hyperstimulation.
Correct Answer is ["A","B","D"]
Explanation
A. The length of time the infant is feeding is a factor in evaluating the effectiveness of breastfeeding.
B. Listening for swallowing during breastfeeding indicates that the infant is transferring milk effectively.
C. Asking about pain while feeding is important for assessing breastfeeding comfort, but it's not part of the LATCH score.
D. Nipple shape (inverted, flat, or everted) is part of the LATCH score, as it can impact latch and breastfeeding effectiveness.
E. Assessing for help at home with breastfeeding is important for support but is not part of the LATCH scoring system.
F. Use of a nipple shield is important for certain breastfeeding difficulties but is not part of the LATCH score.
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