A 26-year-old pregnant woman, gravida 2, para 1-0-0-1 is 28 weeks ...

[tichca]

A 26-year-old pregnant woman, gravida 2, para 1-0-0-1 is 28 weeks pregnant when she experiences bright red, painless vaginal bleeding. On her arrival at the hospital, what would be an expected diagnostic procedure?
 
  a. Amniocentesis for fetal lung maturity
  b. Ultrasound for placental location
  c. Contraction stress test (CST)
  d. Internal fetal monitoring

Question 2

An important consideration for the nurse who is communicating with a very young child is to
 
  a. Speak loudly, clearly, and directly.
  b. Use transition objects, such as a puppet.
  c. Disguise own feelings, attitudes, and anxiety.
  d. Initiate contact with child when parent is not present.

[Viet Thy]

Answer to Question 1

B

Feedback
A Amniocentesis would not be performed on a woman who is experiencing bleeding. In the event of an imminent delivery, the fetus would be presumed to have immature lungs at this gestational age, and the mother would be given corticosteroids to aid in fetal lung maturity.
B The presence of painless bleeding should always alert the health care team to the possibility of placenta previa. This can be confirmed through ultrasonography.
C A CST would not be performed at a preterm gestational age. Furthermore, bleeding would be a contraindication to this test.
D Internal fetal monitoring would be contraindicated in the presence of bleeding.

Answer to Question 2

B
Feedback
A Speaking in this manner will tend to increase anxiety in very young children.
B Using a transition object, such as a puppet or doll, allows the young child an
opportunity to evaluate an unfamiliar person (the nurse). This will facilitate
communication with a child of this age.
C The nurse must be honest with the child. Attempts at deception will lead to a
lack of trust.
D Whenever possible, the parent should be present for interactions with young
children.

[tichca]

TYSM

[ktidd]

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