Which of the following is the priority nursing action for a client at 33 weeks of gestation with a diagnosis of placenta previa?
Insert an IV catheter.
Monitor vaginal bleeding.
Apply an external fetal monitor.
Administer glucocorticoids.
None
None
The Correct Answer is C
Choice A rationale: Establishing IV access is necessary for potential fluid or blood replacement, but it is not the immediate priority over assessing the current physiological status of the fetus.
Choice B rationale: Monitoring the amount and color of vaginal bleeding is a vital assessment, but it does not provide direct information regarding the fetal response to the placental complication.
Choice C rationale: Assessing the fetal heart rate via external monitoring is the priority to ensure fetal well-being and detect distress, as the fetus is at high risk for hypoxia in placenta previa.
Choice D rationale: Glucocorticoids are administered to promote fetal lung maturity in anticipation of a preterm birth, but this intervention occurs after the initial assessment of fetal and maternal stability.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A Reason:
The recommended intake of iron does not necessarily increase during lactation. In fact, the iron requirement may decrease because menstruation usually ceases, reducing iron loss. However, maintaining adequate iron intake is still important for overall health and to support the baby's growth.
Choice B Reason:
Zinc is crucial for immune function, cell division, and growth, making it an important nutrient during lactation. The recommended dietary allowance (RDA) for zinc for lactating women is indeed higher than for non-pregnant, non-lactating women, with an RDA of about 12 mg per day.
Choice C Reason:
While calcium is important for bone health, the recommended intake for lactating women is not as high as 2,000 mg per day. The RDA for calcium for lactating women is about 1,000 mg per day, similar to that for non-lactating women.
Choice D Reason:
The recommended intake of folic acid does not remain the same as for pregnant women. During pregnancy, the RDA for folic acid is higher to prevent neural tube defects. While folic acid is still important during lactation for cell growth and DNA synthesis, the requirement is slightly lower than during pregnancy.
Correct Answer is D
Explanation
Choice a reason:
While ultrasound can be used for estimating fetal age, at 36 weeks of gestation, this is not the primary reason for performing an ultrasound before an amniocentesis. Fetal age is usually estimated earlier in the pregnancy to help with dating the pregnancy and determining the due date.
Choice b reason:
Determining if there is more than one fetus is typically established earlier in the pregnancy. By 36 weeks, the presence of multiples would already be known, so this would not be the primary reason for an ultrasound before an amniocentesis at this stage.
Choice c reason:
An ultrasound can be used as a screening tool for spina bifida, but it is not the main reason for an ultrasound before an amniocentesis at 36 weeks. Screening for spina bifida and other anomalies is usually done during the second trimester.
Choice d reason:
The primary reason for an ultrasound before an amniocentesis is to identify the location of the placenta and fetus. This information is crucial to ensure the safety of both the mother and the fetus during the procedure by avoiding injury to the placenta and ensuring the amniotic needle is inserted in a safe location.
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