A nurse is teaching a woman pregnant in the second trimester who has been diagnosed with a partial placenta previa. Which information is most important to document?
A.
Patient and partner show no anxiety or helplessness and were given educational support material.
B.
Patient instructed that bleeding may occur as placenta totally covers the cervical os.
C.
Patient instructed to tell all health-care providers that vaginal exams are prohibited.
D.
Patient received information about placenta previa and understood it well.
ANS: C
If the patient needs care from another health-care provider, she must tell him or her that due to her placenta previa, all vaginal exams are prohibited. This is an important safety measure that must be taught and clearly documented. Assessing (and documenting) the psychosocial status of the patient and partner are important too, but safety takes priority. A partial placental previa only partly covers the cervical os. The statement that the patient received information and understood it well is vague and does not constitute an example of acceptable charting.
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