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A pregnant woman is expecting to deliver in 2 months. She expresses concern about the immunization schedule for her upcoming baby, particularly the hepatitis B vaccine. Among the information below, which should be explained to the patient?

Explanation

•Painless, vaginal bleeding is indicative of placenta previa, a life-threatening condition that requires continued hospitalization and close monitoring.

•Placenta previa is caused by implantation of the placenta over the internal os of the cervix. Severe bleeding is the main symptom of placenta previa, which most commonly occurs
during the third trimester of pregnancy.

•The other three options are incorrect because painless bleeding is not normal. Although the teach back method is useful, the patient's immediate complication is the priority and discharge should be put on hold.

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