A client at 32 weeks' gestation is admitted with painless vaginal bleeding. Placenta previa has been confirmed by ultrasound
What should be included in the nursing plan? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. No vaginal exams
2. Encouraging activity
3. No intravenous access until labor begins
4. Evaluating fetal heart rate with an external monitor
5. Monitoring blood loss, pain, and uterine contractility
1, 4, 5
Explanation: 1. Expectant management of placenta previa is made by localizing the placenta via tests that require no vaginal examination.
4. Expectant management of placenta previa, when the client is at less than 37 weeks' gestation, includes evaluating FHR with an external monitor.
5. Expectant management of placenta previa, when the client is at less than 37 weeks' gestation, includes monitoring blood loss, pain, and uterine contractility.
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