Which assessment by the nurse would differentiate a placenta previa from an abruptio placentae?
a. Saturated perineal pad in 1 hour
b. Pain level 0 on a scale of 0 to 10
c. Cervical dilation at 2 cm
d. Fetal heart rate at 160 bpm
ANS: B
The classic sign of placenta previa is the sudden onset of painless uterine bleeding, whereas abruptio placentae results in abdominal pain and uterine tenderness; heavy bleeding, cervical dilation, and fetal heart rate of 160 bpm could be associated with both conditions.
You might also like to view...
A client has been diagnosed with anal cancer. Which test does the nurse prepare the client for?
a. Darkfield microscopy b. Culture of discharge c. Blood draw for the Venereal Disease Re-search Laboratory (VDRL) test d. Human papilloma virus (HPV) DNA
The nurse is administering ophthalmic drops to a client with an eye infection. Put the following nursing interventions in order, from first to last. (Separate letters by a comma and space as fol-lows: a, b, c, d.)
a. Recheck the five Rs and the expiration date of the drug. b. Put on gloves. c. Have the client tilt the head backward. d. Wash your hands. e. Pull the lower eyelid downward and instill the medication into the conjunctival sac. f. Instruct the client to close the eyes gently without squeezing the eyelids together.
Nurse practitioner practice may thrive under health-care reform because of:
1. The demonstrated ability of nurse practitioners to control costs and improve patient outcomes 2. The fact that nurse practitioners will be able to practice independently 3. The fact that nurse practitioners will have full reimbursement under health-care reform 4. The ability to shift accountability for Medicaid to the state level
Which of the following are symptoms of substance abuse? (SELECT ALL ANSWERS THAT APPLY)
A) The person needs more of the substance and at more frequent intervals. B) The person's use of the substance interferes with job, family, or social activities. C) The person feels happy and without cares in spite of any problems encountered. D) The person has tried at least once to quit but still is obsessed with the substance. E) The person uses the substance to avoid withdrawal symptoms. F) The person uses the substance alone rather than in social situations.