CRNE Exam Prep

Category - Changes in Health

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A client in her third trimester is admitted due to painless, bright red vaginal bleeding. The vital signs were obtained and the external monitor has been applied. What is the next action of the nurse?

Develop a nursing care plan for an emergency caesarean delivery.
Place the client on her left side.
Perform vaginal examination.
Insert a urinary catheter.

Explanation

Answer: B - The nurse puts the client on her left side, improving fetal circulation. The need for an immediate caesarean delivery has to be evaluated further. The nurse must not attempt to perform a vaginal examination or insert a urinary catheter, as it could stimulate further bleeding.

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