Practice Question
A nurse is caring for a client in labor and delivery triage.
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Rationale:
🔷 Placental abruption refers to the premature separation of the placenta from the uterine wall, which can compromise fetal oxygenation and lead to preterm labor or fetal distress.
🔷 The client's symptoms—dark red vaginal bleeding, uterine tenderness, contractions every 4–8 minutes, and cervical dilation with effacement—strongly support this diagnosis over others like placenta previa or preterm labor alone.
🔷 Administering IM betamethasone at 24 weeks gestation is indicated because it promotes fetal lung maturity, reducing the risk of respiratory distress syndrome if preterm delivery occurs.
🔷 Monitoring contraction patterns is essential to assess the frequency, duration, and intensity of uterine activity, which reflects the risk of ongoing labor or worsening abruption.
🔷 Cervical dilation and effacement should be monitored closely because changes can indicate labor progression, influencing decisions regarding maternal-fetal stabilization or possible delivery.
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This question is from RN ATI Capstone Proctored Post-Assessment-2025 which contains 83 questions.
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From Exam
RN ATI Capstone Proctored Post-Assessment-2025
83 Questions
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- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Capstone Exam(s)
- Answer Choices: 0