Wednesday, 25 May 2016

NCLEX Exam Quiz - Premature Uterine Contractions

NCLEX Exam Quiz -  Premature Uterine Contractions

Nurse is attending a pregnant girl, who is waiting with patience to be discharged after being treated for premature uterine contractions. Nurse assesses the patient condition before discharge & notices that a pool of blood under the patient's pelvis. Patient reports no pain, no discomfort, or nausea. Now the which step should be taken by nurse before discharging the patient???

Select the Correct Answer of NCLEX Quiz

  1. Tell the patient to report any amount of bleeding while at home.
  2. Stop the discharge and notify the physician.
  3. Ask the patient to "teach back" the discharge instructions to help confirm the patient's knowledge.
  4. Explain to the patient that a small amount of blood is normal.

Explanation and Rationale 

• vaginal bleeding without Pain is indicative of placenta previa, it is a life-threatening condition that requires due care, continued hospitalization and close / regular monitoring.

•Placenta previa is caused when the placenta has grown to partially or totally cover the internal os of the cervix. Severe bleeding is the main symptom of placenta previa, which most commonly occurs during the third trimester of pregnancy.

•Incorrect: The remaining three options are incorrect as painless bleeding is not normal. Although the teach-back method is quite useful, the patient's immediate complication is the priority and discharge should be put on hold in this situation.


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