A nurse is working with a nulliparous woman diagnosed with placenta previa. What interventions should the nurse plan to implement if necessary? (Select all that apply.)
A.
Educate the woman about prenatal iron supplements.
B.
Facilitate informed consent for blood.
C.
Educate the woman about the need for a forceps delivery.
D.
Explain that she will undergo a planned delivery at 34-35 weeks.
E.
Advise the woman that a vaginal birth may be possible.
ANS: A, B, E
Interventions that are appropriate for women diagnosed with placenta previa include instruction about the need for prenatal iron and folic acid supplementation. Hemorrhage is possible, so a consent form for blood products may be needed. A forceps delivery is not indicated. Women with suspected placenta accreta should be delivered between 34 and 35 weeks; those with placenta previa should be delivered at 36 to 37 weeks. Women diagnosed with a partial or marginal placenta previa who have no bleeding or minimal bleeding may be allowed to attempt a vaginal birth.
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