A nurse is caring for a client who has placenta previa. Which of the following interventions should the nurse implement for this client? (Select all that apply.)<\/p>\n\n\n\n
A.
Perform a vaginal exam.<\/p>\n\n\n\n
B.
Monitor fetal heart rate with an internal fetal monitor.<\/p>\n\n\n\n
C.
Frequently assess maternal heart rate.<\/p>\n\n\n\n
D.
Initiate bed rest with bathroom privileges.<\/p>\n\n\n\n
The Correct Answer and Explanation is:<\/mark><\/strong><\/p>\n\n\n\n For a client with placenta previa, the appropriate nursing interventions are:<\/p>\n\n\n\n C. Frequently assess maternal heart rate.<\/strong><\/p>\n\n\n\n D. Initiate bed rest with bathroom privileges.<\/strong><\/p>\n\n\n\n Explanation:<\/strong><\/p>\n\n\n\n Placenta previa is a condition where the placenta is located low in the uterus, partially or completely covering the cervix. This condition can lead to significant complications, including hemorrhage, preterm labor, and complications during delivery. Therefore, careful management is critical.<\/p>\n\n\n\n A. Perform a vaginal exam.<\/strong> B. Monitor fetal heart rate with an internal fetal monitor.<\/strong> C. Frequently assess maternal heart rate.<\/strong> D. Initiate bed rest with bathroom privileges.<\/strong> In summary, the focus in managing a client with placenta previa includes avoiding invasive procedures, monitoring maternal vitals for signs of distress, and implementing bed rest to minimize risks associated with bleeding.<\/p>\n","protected":false},"excerpt":{"rendered":" A nurse is caring for a client who has placenta previa. Which of the following interventions should the nurse implement for this client? (Select all that apply.) A.Perform a vaginal exam. B.Monitor fetal heart rate with an internal fetal monitor. C.Frequently assess maternal heart rate. D.Initiate bed rest with bathroom privileges. The Correct Answer and […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-140966","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/140966","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=140966"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/140966\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=140966"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=140966"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=140966"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
This option is incorrect. Performing a vaginal exam in the presence of placenta previa can stimulate bleeding and may cause serious complications for both the mother and the fetus. Since the cervix is involved, any manipulation can lead to the placenta separating from the uterine wall, resulting in hemorrhage.<\/p>\n\n\n\n
This option is generally inappropriate for the initial management of placenta previa unless the situation is critical and requires immediate internal monitoring. An internal fetal monitor is invasive and may also increase the risk of bleeding.<\/p>\n\n\n\n
This intervention is correct. Monitoring the maternal heart rate helps assess for signs of shock or distress that may arise from hemorrhage. Changes in maternal heart rate can indicate significant blood loss and warrant prompt intervention.<\/p>\n\n\n\n
This is also a correct intervention. Bed rest helps minimize the risk of exacerbating the condition, particularly reducing physical activity that could lead to bleeding. Allowing bathroom privileges ensures that the client\u2019s mobility is somewhat maintained while still prioritizing safety.<\/p>\n\n\n\n