ATI RN
RN Comprehensive Online Practice 2019 B with NGN Questions
Extract:
Question 1 of 5
A nurse is assessing a client who is at 37 weeks of gestation and reports sudden, severe abdominal pain with moderate vaginal bleeding and persistent uterine contractions. The client's blood pressure is 88/50 mm Hg, and her abdomen is rigid. The nurse should identify these findings as indicating which of the following complications?
Correct Answer: B
Rationale: The correct answer is B: Placental abruption. This is supported by the sudden, severe abdominal pain, moderate vaginal bleeding, persistent uterine contractions, low blood pressure, and rigid abdomen. Placental abruption occurs when the placenta partially or completely separates from the uterine wall before delivery, leading to severe complications for both the mother and the baby. The symptoms described are classic signs of placental abruption, requiring immediate medical attention.
Incorrect choices:
A: Uterine rupture typically presents with sudden, severe abdominal pain but is not usually associated with vaginal bleeding or low blood pressure.
C: Placenta previa presents with painless vaginal bleeding, not sudden, severe abdominal pain.
D: Amniotic fluid embolus is a rare and life-threatening condition characterized by sudden respiratory distress and cardiovascular collapse, not the symptoms described in the question.
Question 2 of 5
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Question 3 of 5
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Question 4 of 5
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Question 5 of 5
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