Practice Question
A nurse is caring for a client who is at 35 weeks of gestation and has moderate abruptio placenta. Which of the following actions should the nurse take?
Answer Choices:
Correct Answer:
Monitor fetal heart rate tracings.
Rationale:
💎In abruptio placentae, the placenta prematurely separates from the uterine wall, leading to compromised fetal oxygenation.
💎Continuous fetal heart rate (FHR) monitoring is essential to assess for signs of fetal distress such as late decelerations, tachycardia, or bradycardia.
💎The FHR pattern provides critical information about uteroplacental perfusion and the effectiveness of interventions to stabilize the mother and fetus.
💎Maternal signs such as abdominal pain, uterine rigidity, and vaginal bleeding often coincide with nonreassuring FHR patterns, indicating worsening abruption.
💎Monitoring allows the nurse to promptly report abnormalities to the provider, who may decide on emergency delivery if fetal distress persists.
💎Other interventions (like oxytocin or vaginal exams) are contraindicated until stabilization and diagnostic confirmation, as they can worsen separation or hemorrhage.
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This question is from RN-Maternal Newborn 2023 which contains 68 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