A pregnant woman presents with unexplained vaginal bleeding in the third trimester. Until the placental location is confirmed, which nursing action is safest?
Correct answer: D. Avoid vaginal examination and notify the obstetric team
- A. Perform a digital vaginal examination
- B. Encourage walking to assess the bleeding
- C. Apply fundal pressure to assess tenderness
- D. Avoid vaginal examination and notify the obstetric team
Explanation
Digital vaginal examination can disrupt a placenta lying over or near the cervical os and cause severe haemorrhage. The nurse should avoid it until placenta praevia has been excluded by appropriate assessment.
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About Complications of Pregnancy
Pregnancy complications include hyperemesis gravidarum, anaemia, ectopic pregnancy, miscarriage, antepartum haemorrhage, hypertensive disorders, gestational diabetes, infections and disorders of fetal growth. Questions focus on characteristic signs, risk factors, investigations, maternal and fetal effects, and nursing care, while acute life-threatening treatment belongs under obstetric emergencies.
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