Ati Lpn maternal exam 1
Ati Lpn maternal exam 1 ( 49 Questions)
A nurse is admitting a client who is at 36 weeks gestation and has pain, bright red vaginal bleeding. The nurse recognizes this finding as an indication of which of the following conditions? Choice Options:
Threatened abortion is a condition characterized by vaginal bleeding during pregnancy, typically in the first 20 weeks. It does not usually involve pain or bright red bleeding.
In this case, the client is at 36 weeks gestation, which is beyond the typical timeframe for threatened abortion. Moreover, the presence of pain and bright red bleeding is more suggestive of abruptio placentae than threatened abortion.
Placenta previa is a condition where the placenta covers part or all of the cervix. It can cause painless, bright red vaginal bleeding, but it typically occurs in the later stages of pregnancy, often after 32 weeks.
However, pain is not a common symptom of placenta previa, and its presence in this case makes abruptio placentae more likely.
Preterm labor is defined as labor that starts before 37 weeks of pregnancy. It can be accompanied by vaginal bleeding, but it is often accompanied by other signs like contractions, back pain, and pressure in the pelvis.
In this scenario, the client is experiencing pain and bright red bleeding, but there is no mention of contractions or other typical symptoms of preterm labor.
Abruptio placentae is a serious condition in which the placenta separates from the uterine wall prematurely. It can occur at any time during pregnancy, but it is more common in the third trimester.
The classic symptoms of abruptio placentae are pain, bright red vaginal bleeding, and a rigid or tender uterus. These symptoms align with the client's presentation, making abruptio placentae the most likely diagnosis.
Choice A Rationale:
Threatened abortion is a condition characterized by vaginal bleeding during pregnancy, typically in the first 20 weeks. It does not usually involve pain or bright red bleeding.
In this case, the client is at 36 weeks gestation, which is beyond the typical timeframe for threatened abortion. Moreover, the presence of pain and bright red bleeding is more suggestive of abruptio placentae than threatened abortion.
Choice B Rationale:
Placenta previa is a condition where the placenta covers part or all of the cervix. It can cause painless, bright red vaginal bleeding, but it typically occurs in the later stages of pregnancy, often after 32 weeks.
However, pain is not a common symptom of placenta previa, and its presence in this case makes abruptio placentae more likely.
Choice C Rationale:
Preterm labor is defined as labor that starts before 37 weeks of pregnancy. It can be accompanied by vaginal bleeding, but it is often accompanied by other signs like contractions, back pain, and pressure in the pelvis.
In this scenario, the client is experiencing pain and bright red bleeding, but there is no mention of contractions or other typical symptoms of preterm labor.
Choice D Rationale:
Abruptio placentae is a serious condition in which the placenta separates from the uterine wall prematurely. It can occur at any time during pregnancy, but it is more common in the third trimester.
The classic symptoms of abruptio placentae are pain, bright red vaginal bleeding, and a rigid or tender uterus. These symptoms align with the client's presentation, making abruptio placentae the most likely diagnosis.