Which maternal condition always necessitates birth by cesarean ...

[tuffie]

Which maternal condition always necessitates birth by cesarean section?
 
  a. Partial abruptio placentae
  b. Total placenta previa
  c. Ectopic pregnancy
  d. Eclampsia

Question 2

The clinic nurse is performing a prenatal assessment on a pregnant client at risk for preeclampsia. Which clinical sign is not included as a symptom of preeclampsia?
 
  a. Edema
  b. Proteinuria
  c. Glucosuria
  d. Hypertension

[jazzlynnnnn]

Answer to Question 1

ANS: B
In total placenta previa, the placenta completely covers the cervical os. The fetus would die if a vaginal birth occurred. If the client has stable vital signs and the fetus is alive, a vaginal birth can be attempted. If the fetus has died, a vaginal birth is preferred. The most common ectopic pregnancy is a tubal pregnancy, which is usually detected and treated in the first trimester. Labor can be safely induced if the eclampsia is under control.

Answer to Question 2

ANS: C
Glucose into the urine is not one of the three classic symptoms of preeclampsia. The first sign noted by the pregnant client is rapid weight gain and edema of the hands and face. Proteinuria usually develops later than the edema and hypertension. The first indication of preeclampsia is usually an increase in the maternal blood pressure.