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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?

A.

Variable decelerations.

B.

Painless vaginal bleeding.

C.

Rigid abdomen.

D.

Uterine tachysystole.

Answer and Explanation

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 D

Explanation

Choice A rationale

A shrill cry may indicate distress but isn't specifically related to hypoglycemia in newborns.

Choice B rationale

Weak peripheral pulses are more commonly associated with circulatory or cardiac issues rather than hypoglycemia.

Choice C rationale

Yellowish skin suggests jaundice, which is due to elevated bilirubin levels, not hypoglycemia.

Choice D rationale

Hypotonia, or decreased muscle tone, can be a sign of hypoglycemia in newborns, indicating a need to check blood glucose levels.

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

Explanation

Choice A rationale

Irregular spotting is common after the placement of an IUD as the body adjusts to the device. This is a normal side effect and typically resolves within a few months.

Choice B rationale

Avoiding tampons initially after IUD placement is advised to prevent displacement or infection. Once the IUD is properly positioned and the risk of infection decreases, tampons can generally be used.

Choice C rationale

Informed consent is required prior to IUD placement to ensure the client understands the procedure, potential risks, and benefits, ensuring an informed decision.

Choice D rationale

IUDs typically need to be replaced every 3 to 10 years, depending on the type. Replacing an IUD every 2 years is not accurate and does not align with standard medical

recommendations.

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