Maternity Nursing Q 52

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A multigravida at 38 weeks’ gestation is admitted with painless, bright red bleeding and mild contractions every 7 to 10 minutes. Which of the following assessments should be avoided?

  

     A. Maternal vital sign

     B. Fetal heart rate

     C. Contraction monitoring

     D. Cervical dilation

    

    

Correct Answer: D. Cervical dilation

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The signs indicate placenta previa and vaginal exam to determine cervical dilation would not be done because it could cause hemorrhage.

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Option A: Assessing maternal vital signs can help determine maternal physiologic status.

Option B: Fetal heart rate is important to assess fetal well-being and should be done.

Option C: Monitoring the contractions will help evaluate the progress of labor.

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