A nurse is assessing a client who has placenta previa and is receiving fetal monitoring.
Which of the following clinical findings should the nurse expect?
Variable decelerations.
Painless vaginal bleeding.
Rigid abdomen.
Uterine tachysystole.
The Correct Answer is B
Choice A rationale
Variable decelerations are associated with umbilical cord compression, not placenta previa. In placenta previa, the placenta covers the cervical os, but it does not typically cause
variable decelerations on fetal monitoring.
Choice B rationale
Painless vaginal bleeding is a hallmark sign of placenta previa. This occurs because the placenta is located near or over the cervical os, leading to bleeding when the cervix dilates
or effaces.
Choice C rationale
A rigid abdomen is more indicative of placental abruption, where the placenta detaches prematurely from the uterine wall, causing pain and a tense abdomen, not typically seen in
placenta previa.
Choice D rationale
Uterine tachysystole is characterized by excessive uterine contractions and is not a clinical finding related to placenta previa. Tachysystole often results from excessive oxytocin use
or other uterine stimulants.
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View Related questions
Correct Answer is C
Explanation
Choice A rationale
Patterned breathing techniques can help in managing pain by focusing on controlled breathing, reducing anxiety, and providing a distraction from the pain, but are not specifically targeting back labor pains.
Choice B rationale
Effleurage involves light circular strokes on the abdomen and can help in managing general labor pain, but may not be as effective specifically for back labor pains.
Choice C rationale
Sacral counterpressure involves applying steady pressure to the sacral area, which can help relieve pain caused by back labor by counteracting the discomfort experienced in this
area.
Choice D rationale
Guided imagery involves using mental visualization to distract from pain and promote relaxation, but may not be as effective in relieving the specific pain associated with back labor.
Correct Answer is B
Explanation
Choice A rationale
The fetal heartbeat is typically detectable by Doppler around 10-12 weeks, not as early as 6 weeks.
Choice B rationale
Monthly prenatal visits up to 28 weeks are standard practice for monitoring pregnancy.
Choice C rationale
A complete blood count is not performed at every prenatal visit but at specific intervals.
Choice D rationale
The blood test for neural tube defects, such as AFP, is usually done around 16-18 weeks, not 32 weeks.