A woman at 34 weeks of pregnancy arrives at a basic health unit with fresh vaginal bleeding and lower abdominal pain. What is the priority nursing action?
Correct answer: A. Arrange urgent obstetric referral without vaginal examination
- A. Arrange urgent obstetric referral without vaginal examination
- B. Perform a digital vaginal examination to assess cervical dilatation
- C. Advise bed rest at home and review her after one week
- D. Encourage oral fluids and continue the routine antenatal assessment
Explanation
Antepartum bleeding with pain may indicate a serious obstetric complication and requires urgent assessment and referral. A digital vaginal examination should be avoided until placenta praevia has been excluded because it may worsen bleeding.
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About Antenatal Care
Routine care during pregnancy includes booking history, physical examination, laboratory investigations, nutritional advice, immunisation, fetal growth assessment and scheduled antenatal visits. It also covers recognition of danger signs, calculation of gestational age and estimated delivery date, and the difference between uncomplicated surveillance and referral for high-risk pregnancy.
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50 free Antenatal Care MCQs from Midwifery and Obstetric Nursing, each with the correct answer and an explanation. Unlimited attempts, no account needed.
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