NCLEX-PN

Category - Physiological Adaptation

A female client at 28 weeks gestation is admitted after experiencing abrupt and painless bleeding. The nurse should expect the following interventions in the care plan developed by the RN except:
  1. Inspect the perineum for bleeding
  2. Prepare the oxygen equipment at bedside
  3. Perform pelvic examination
  4. Continuous assessment of blood pressure every 15 minutes
Explanation
Answer: C - Pelvic examinations must be avoided when caring for clients with placenta previa. This type of examination during the last trimester can agitate the cervix and may initiate hemorrhage. The other options are appropriate.
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