NCLEX Question for home care with a diagnosis of placenta previa

Mrs. S., 30 weeks gestation, is being discharged to home care with a diagnosis of placenta previa. The nurse knows that the client understanding her care at home when the client states,
 

a.    “As I get closer to my due date I will have to remain in bed.”

b.    “ I can continue with my office job because it’s mostly sitting

c.    “My husband won’t be too happy with this ‘no sex’ order.”

d.    “I’m disappointed that I will need a cesarean section.
 

Correct Answer: C. In placenta previa, any sexual arousal is contraindicated because it can cause the release of oxytocin, which can cause the cervix to pull away from the low-lying placenta; this results in bleeding and potential jeopardy to the fetus.
 

For women with placenta previa whose condition is stable, but the fetus is premature, a regimen of restricted activity and bedrest is indicated.
 

For women with placenta previa whose condition is stable, but the fetus is premature, a regimen of restricted activity and bedrest is indicated.
 

In placenta previa, if the woman’s condition is stable, and the previa is less than 30% (a partial or marginal previa), a vaginal delivery may be possible with careful monitoring.

Posted in: MCN NCLEX