Practice Question
A nurse is assisting with the admission of a client who is at 39 weeks of gestation and has heavy vaginal bleeding. Which of the following actions should the nurse take?
Answer Choices:
Correct Answer:
Prepare for cesarean birth.
Rationale:
🟥 Heavy vaginal bleeding at 39 weeks gestation is a red flag for serious obstetric complications, most commonly placenta previa or placental abruption, both of which can endanger maternal and fetal lives.
🟥 In cases of placenta previa, the placenta partially or completely covers the cervix, making a vaginal delivery unsafe due to the risk of severe hemorrhage.
🟥Cesarean birth is typically required.
🟥 Performing a cervical examination is contraindicated when placenta previa is suspected, as it can trigger or worsen bleeding.
🟥 Magnesium sulfate is used to manage preeclampsia/eclampsia, not hemorrhage.
🟥 Antibiotics are not first-line treatment unless there is evidence of infection; immediate focus should be on stabilizing the mother and preparing for delivery.
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This question is from RN ATI Maternity Exam I which contains 50 questions.
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Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Maternal & Newborn Care
- Answer Choices: 4