The primiparous client has completed her first prenatal clinic ...

[K@]

The primiparous client has completed her first prenatal clinic appointment. She is asking how often prenatal visits will be done if everything remains normal and she develops no complications.
 
  Which of the following statements best answers her question? Prenatal visits are scheduled: 1. Every 2 weeks for the first 28 weeks, then every week.
  2. 'Every 4 weeks until 30 weeks, every 3 weeks until 36 weeks, then every week.
  3. 'Every 4 weeks until 28 weeks, every 2 weeks until 36 weeks, then every week.
  4. Every 4 weeks until 30 weeks, then every other week.

Question 2

When comparing abruptio placentae and placenta previa, which manifestation would be most typical of abruptio placentae?
 
  a. abdominal pain c. maternal hypotension
  b. painless vaginal spotting d. decreased hemoglobin

[ecabral0]

Answer to Question 1

3
Rationale:
1. Normal prenatal exams are scheduled every 4 weeks until 28 weeks, every 2 weeks until 36 weeks, and then every week until delivery. Clients at high risk and those experiencing complications will be seen more frequently.
2. Normal prenatal exams are scheduled every 4 weeks until 28 weeks, every 2 weeks until 36 weeks, and then every week until delivery. Clients at high risk and those experiencing complications will be seen more frequently.
3. Normal prenatal exams are scheduled every 4 weeks until 28 weeks, every 2 weeks until 36 weeks, and then every week until delivery. Clients at high risk and those experiencing complications will be seen more frequently.
4. Normal prenatal exams are scheduled every 4 weeks until 28 weeks, every 2 weeks until 36 weeks, and then every week until delivery. Clients at high risk and those experiencing complications will be seen more frequently.

Answer to Question 2

A
Abdominal pain is the classic manifestation of abruptio occurring as the placenta tears away from the endometrium. Painless vaginal spotting is the classic manifestation of placenta previa. Maternal hypotension doesn't occur with hemorrhage until approximately 40 percent of blood volume is lost. Decreased hemoglobin can occur because of physiologic anemia of pregnancy and would be a late sign of abruptio.