Practice Quiz

CNM Certified Nurse Midwife

Category - Antepartum

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A client is admitted to the facility and is placed on bed rest. The client is diagnosed with placenta previa. Which of the following pieces of information does not support this diagnosis?
  1. The client complained of abrupt, painless and bright red vaginal bleeding.
  2. The Kleihauer-Betke test reveals that bleeding is of maternal origin.
  3. The client is in her first trimester.
  4. Fetal malpresentation is assessed.
Explanation
Answer: C - Placenta previa is one of the most common causes of bleeding during the second to third trimesters. It usually occurs after the 20th week of gestation. Placenta previa involves low implantation of the placenta, and it is manifested by abrupt, painless and bright red vaginal bleeding of maternal origin. Fetal malpresentation is common because the low-lying placenta prevents engagement of the presenting part.
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