Labor and Delivery Nclex style questions | 46 Question and Answers (A+ guide solution)

2. Uterine tenderness - The nurse is assessing a pregnant client in the second trimester of pregnancy who was admitted to the maternity unit with a suspected diagnosis of abruptio placentae. Which assessment finding should the nurse expect to note if this condition is present? 1. Soft abdomen 2. Uterine tenderness 3. absence of abdominal pain 4. painless, bright red vaginal bleeding 2. Obtain equipment for a manual pelvic examination. - The maternity nurse is preparing for the admission of a client in the third trimester of pregnancy who is experiencing vaginal bleeding and has a suspected diagnosis of placenta previa. The nurse reviews the health care provider's prescriptions and should question which prescription? 1.Prepare the client for an ultrasound. 2.Obtain equipment for a manual pelvic examination. 3.Prepare to draw a hemoglobin and hematocrit blood sample 4. Obtain equipment for external electronic fetal heart rate monitoring 1. Delivery of the fetus - An ultrasound is preformed on a client at term gestation who is experiencing moderate vaginal bleeding. The results of the ultrasound indicate that abruption placentae is present. On the basis of these findings, the nurse should prepare the client for which anticipated prescription? 1.Delivery of the fetus. 2. Strict monitoring of intake and output 3.Complete bed rest for the remainder of the pregnancy 4. The need for weekly monitoring of coagulation studies until the time of delivery 2. The client has a history of cardiac disease - The nurse is preforming an initial assessment on a client who has just been told that a pregnancy test is positive. Which assessment finding indicates that the client is at risk for preterm labor?