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Which of the following are signs and symptoms of placenta abruption? (Select all that apply))

Vaginal bleeding.

Abdominal pain.

Uterine tenderness.

Fetal distress.

Back pain.

Answer and Explanation

Correct Answer : A,B,C,D,E

Choice A rationale

Vaginal bleeding is a key sign of placenta abruption due to separation from the uterine wall disrupting blood vessels.

Choice B rationale

Abdominal pain occurs as the placenta detaches, causing uterine muscle irritation and potential contractions.

Choice C rationale

Uterine tenderness results from inflammation and bleeding within the uterine wall at the site of abruption.

Choice D rationale

Fetal distress signals reduced oxygen supply due to compromised blood flow from the placenta to the fetus.

Choice E rationale

Back pain is common as the detachment and bleeding irritate the surrounding muscles and ligaments.

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Correct Answer is B

Explanation

Choice A rationale

Decreased fetal heart rate can occur due to uteroplacental insufficiency but is not specific to hypertonic contractions.

Choice B rationale

The uterus may not relax between contractions, leading to a lack of rest periods for the fetus and compromised blood flow.

Choice C rationale

Easily indentable contractions are characteristic of hypotonic contractions, not hypertonic ones.

Choice D rationale

Weak and ineffective contractions indicate hypotonic labor, contrasting the excessive strength of hypertonic contractions.

NGN QUESTIONS

A. I am at increased risk of preterm labor. B. I am at risk of developing type 2 diabetes mellitus. C. I will need to undergo intensive fetal monitoring. D. I will need to have a cesarean section. E. I am at risk of postpartum hemorrhage.

Correct Answer is ["A","B","C","E"]

Explanation

Choice A rationale

Gestational diabetes mellitus increases the risk of preterm labor due to potential complications such as polyhydramnios and preeclampsia.

Choice B rationale

Clients with gestational diabetes have a higher risk of developing type 2 diabetes mellitus later in life due to glucose intolerance.

Choice C rationale

Intensive fetal monitoring is necessary to detect potential complications such as macrosomia, hypoglycemia, and fetal distress in GDM clients.

Choice D rationale

Having a cesarean section is not a requirement for all clients with GDM, as vaginal delivery is possible with well-controlled glucose levels.

Choice E rationale

Clients with GDM are at risk of postpartum hemorrhage due to uterine overdistention from macrosomia or polyhydramnios.

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Which of the following are signs and symptoms of placenta abruption? (Select all that apply))

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following is a finding for a patient who is having hypertonic contractions during labor?

Correct Answer is B

Explanation

A nurse is teaching a client at 24 weeks of gestation about special considerations of gestational diabetes mellitus (GDM). Which of the following statements by the client indicates that the teaching was effective? (Select all that apply)

Correct Answer is ["A","B","C","E"]

Explanation

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