Author Question: A nurse is teaching a woman pregnant in the second trimester who has been diagnosed with a partial ... (Read 86 times)

dmcintosh

  • Hero Member
  • *****
  • Posts: 517
A nurse is teaching a woman pregnant in the second trimester who has been diagnosed with a partial placenta previa. Which information is most important to document?
 
  A.
  Patient and partner show no anxiety or helplessness and were given educational support material.
  B.
  Patient instructed that bleeding may occur as placenta totally covers the cervical os.
  C.
  Patient instructed to tell all health-care providers that vaginal exams are prohibited.
  D.
  Patient received information about placenta previa and understood it well.

Question 2

A pregnant patient in the second trimester is in the emergency department after a motor vehicle crash. She has a severe laceration of her arm resulting in a large blood loss. Which assessment should the nurse perform first?
 
  A.
  Blood pressure
  B.
  Fetal heart tones
  C.
  Pulse
  D.
  Respiratory rate



CAPTAINAMERICA

  • Sr. Member
  • ****
  • Posts: 325
Answer to Question 1

ANS: C
If the patient needs care from another health-care provider, she must tell him or her that due to her placenta previa, all vaginal exams are prohibited. This is an important safety measure that must be taught and clearly documented. Assessing (and documenting) the psychosocial status of the patient and partner are important too, but safety takes priority. A partial placental previa only partly covers the cervical os. The statement that the patient received information and understood it well is vague and does not constitute an example of acceptable charting.

Answer to Question 2

ANS: C
Because a woman's blood volume can increase dramatically during pregnancy, blood pressure is an unreliable indicator of a volume deficit. Maternal pulse and fetal heart rate are much more accurate indicators. Because the priority in care of the pregnant trauma patient is care of the mother, the nurse should assess the mother's blood pressure first.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
 

Did you know?

Women are two-thirds more likely than men to develop irritable bowel syndrome. This may be attributable to hormonal changes related to their menstrual cycles.

Did you know?

Methicillin-resistant Staphylococcus aureus or MRSA was discovered in 1961 in the United Kingdom. It if often referred to as a superbug. MRSA infections cause more deaths in the United States every year than AIDS.

Methicilli ...
Did you know?

Many people have small pouches in their colons that bulge outward through weak spots. Each pouch is called a diverticulum. About 10% of Americans older than age 40 years have diverticulosis, which, when the pouches become infected or inflamed, is called diverticulitis. The main cause of diverticular disease is a low-fiber diet.

Did you know?

Acute bronchitis is an inflammation of the breathing tubes (bronchi), which causes increased mucus production and other changes. It is usually caused by bacteria or viruses, can be serious in people who have pulmonary or cardiac diseases, and can lead to pneumonia.

Did you know?

Earwax has antimicrobial properties that reduce the viability of bacteria and fungus in the human ear.

For a complete list of videos, visit our video library