QUESTION: "A pregnant client is diagnosed with partial placenta previa. In explaining the diagnosis, the nurse tells the client that the usual treatment for partial placenta previa is which of the following?"
CHOICES
( O ) a.) Activity limited to bed rest.
( X ) b.) Platelet infusion.
( X ) c.) Immediate cesarean delivery.
( X ) d.) Labor induction with oxytocin.
RATIONALE: Treatment of partial placenta previa includes bed rest, hydration, and careful monitoring of the client's bleeding. Placenta previa involves an abnormal implantation of the placenta. Platelets are not affected. Therefore, a platelet infusion is not necessary. Vaginal birth is the preferred method of delivery. An immediate cesarean section is not warranted unless fetal distress occurs or the client begins to hemorrhage. Induction of labor should be initiated with caution and only if delivery is indicated because of the risk for possible hemorrhage or fetal distress. NURSING PROCESS STEP: Planning CLIENT NEEDS CATEGORY: Physiological integrity CLIENT NEEDS SUBCATEGORY: Physiological adaptation
