FNP Family Nurse Practitioner Exam Prep

Category - Women's Health Nurse Practitioner

Your patient is 33 weeks pregnant.  She has painless, bright red vaginal bleeding. The vital signs were obtained and the external monitor has been applied. What of the following is a sensible next action of the nurse practitioner?

  1. Develop a nursing care plan for an emergency caesarean delivery.
  2. Place the client on her left side.
  3. Perform vaginal examination.
  4. Insert a urinary catheter.
  5. All of the above
Explanation

Answer: B - It would make sense for the NP to put the client on her left side, improving fetal circulation. The need for immediate cesarean delivery has to be evaluated further. The NP should not attempt to perform a vaginal examination or insert a urinary catheter, as it could stimulate further bleeding.

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