Maternity Nursing Q 188
A pregnant mother is admitted to the hospital with the chief complaint of profuse vaginal bleeding, AOG 36 wks, not in labor. The nurse must always consider which of the following precautions:
A. The internal exam is done only at the delivery under strict asepsis with a double set-up.
B. The preferred manner of delivering the baby is vaginal.
C. An emergency delivery set for vaginal delivery must be made ready before examining the patient.
D. Internal exams must be done following routine procedures.
Correct Answer: A. The internal exam is done only at the delivery under strict asepsis with a double set-up.
Painless vaginal bleeding during the third trimester may be a sign of placenta praevia.
Option B: If the bleeding is due to soft tissue injury in the birth canal, immediate vaginal delivery may still be possible so the set up for vaginal delivery will be used.
Option C: A double set-up means there is a set-up for cesarean section and a set-up for vaginal delivery to accommodate immediately the necessary type of delivery needed. In both cases, strict asepsis must be observed.
Option D: If an internal examination is done in this kind of condition, this can lead to even more bleeding and may require immediate delivery of the baby by cesarean section.