The patient at 24 weeks' gestation is experiencing painless vaginal bleeding after intercourse. The physician has ordered a transvaginal ultrasound examination
Which statements by the patient indicate an understanding of why this exam has been requested? "This ultrasound: (Select all that apply.) Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. "Will show the baby's gender."
2. "Might cause the miscarriage of my baby."
3. "Carries a risk of creating a uterine infection."
4. "Can determine the location of my placenta."
5. "Might detect whether the placenta is detaching prematurely."
4,5
Rationale 1: Although gender can sometimes be detected with second-trimester ultrasound, that is never the primary reason for the procedure.
Rationale 2: Ultrasound is non-invasive, and does not increase the risk for either fetal loss or uterine infection.
Rationale 3: Ultrasound is non-invasive, and does not increase the risk for either fetal loss or uterine infection.
Rationale 4: Painless bleeding in the second and third trimesters can be a symptom of placenta previa, or the placenta covering the cervix. Transvaginal ultrasound will determine the placental location.
Rationale 5: Painless bleeding in the second and third trimesters can be symptoms of placenta previa, or the placenta covering the cervix. Transvaginal ultrasound will determine the placental location.
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