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The Nurse Is Caring for a Client Who Is Diagnosed

Question 16

Multiple Choice

The nurse is caring for a client who is diagnosed with abruptio placentae based on the client's history, physical examination, and laboratory studies. What nursing interventions should be initiated immediately?


A) Continuously monitor the fetus even if a fetal heart rate is not present.
B) Identify the lower limit of the fundus and mark it on the woman's abdomen.
C) Observe the fundus for changes in shape or movement upward.
D) Monitor and report decrease in, or movement downward, of abdominal girth.

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