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    ATI Maternal Newborn Proctored Exam II
    Select All That Apply

    A nurse is admitting a client who is at 35 weeks of gestation and is experiencing mild vaginal bleeding due to placenta previa.Which of the following actions should the nurse plan to take?

    Explanation & Rationale

    Choice A rationaleContinuous FHR monitoring is vital in placenta previa to identify fetal distress promptly, as this condition increases risks of preterm labor or compromised placental blood flow, requiring immediate intervention.Choice B rationaleBetamethasone accelerates fetal lung maturity, reducing neonatal respiratory complications if preterm birth becomes unavoidable. This intervention is standard in pregnancies at high risk of preterm labor.Choice C rationaleCervical examinations increase the risk of disrupting the placenta, causing further bleeding in placenta previa, a condition characterized by placental attachment over or near the cervical os.Choice D rationaleMisoprostol induces uterine contractions and cervical ripening, which are contraindicated in placenta previa due to the heightened risk of placental abruption and catastrophic hemorrhage.

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