Why should a cervical examination not be performed on a client with placenta previa?

• A. It may cause infection
• B. It could cause hemorrhage
• C. It might induce labor
• D. It can increase fetal heart rate

Answer: (B)

The reasoning behind not performing a cervical examination on a client with placenta previa is primarily due to the risk of hemorrhage. In cases of placenta previa, the placenta is positioned low in the uterus, either partially or completely covering the cervix. This abnormal location poses a significant threat because any manipulation during a cervical examination can disrupt the placental attachment and lead to bleeding.

Hemorrhaging can be a life-threatening complication for both the mother and the fetus. It is crucial to prioritize the safety of both parties, as significant blood loss can result in severe consequences. Hence, avoiding cervical examinations helps mitigate this risk and ensures a safer management approach for women diagnosed with placenta previa.

The other potential risks like infection, induction of labor, or changes in fetal heart rate are less critical in this context compared to the immediate and severe risk of hemorrhage that can occur from unnecessary cervical examinations. This understanding is essential for healthcare providers in making informed decisions regarding the management of patients with placenta previa.