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? Select all that apply
1. No vaginal exams
2. Encourage activity.
3. No intravenous access until labor begins
4. Evaluate fetal heart rate with an external monitor.
5. Monitor blood loss, pain, and uterine contractility.
Correct
1; 4; 5
Rationale:
1. Expectant management of placenta previa, when the pregnancy is less than 37 weeks' gestation, includes: no vaginal exams; monitoring blood loss, pain, and uterine contractility; and evaluating FHR with an external monitor.
2. In cases of placenta previa, activity should not be encouraged.
3. In cases of placenta previa, an intravenous access would be initiated before labor begins.
4. Expectant management of placenta previa, when the pregnancy is less than 37 weeks' gestation, includes: no vaginal exams; monitoring blood loss, pain, and uterine contractility; and evaluating FHR with an external monitor.
5. Expectant management of placenta previa, when the pregnancy is less than 37 weeks' gestation, includes: no vaginal exams; monitoring blood loss, pain, and uterine contractility; and evaluating FHR with an external monitor.
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