Which of the following assessments would indicate instability in the client hospitalized for placenta previa?
a. BP <90/60 mm/Hg, Pulse <60 BPM or >120 BPMb. FHR moderate variability without accelerationsc. Dark brown vaginal discharge when voidingd. Oral temperature of 99.9?F
ANS: a
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a. A decrease in BP accompanied by bradycardia or tachycardia is an indication of hypovolemic shock.
b. FHR with moderate variability can be absent of accelerations during fetal sleep cycles or after maternal sedation.
c. Bright red vaginal bleeding is an indication of current bleeding.
d. Oral temperature may fluctuate based on the client's hydration status. It should be reassessed. Cause for concern is a temperature of 100.4?F or more.
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