A 28-year-old female client is admitted to the labor and delivery unit at 0700hrs. She is 34 weeks pregnant and reports having low back pain and frequent urination since last night. She mentions that urination is painful and she can only pass a small amount each time.

Exhibits

Given the client’s symptoms and the progression of her condition, the nurse suspects that the client may be experiencing complications related to preterm labor and a possible urinary tract infection (UTI). For each characteristic in the table, select whether it is more likely to be associated with preterm labor, a urinary tract infection (UTI), or both. Each column must have at least one response option selected. Candidates can select as many options as apply for each column.

Frequent urination

Low back pain

Temperature of 38.3°C (101°F)

Strong urge to push

Contractions every 1.5 minutes

Pain level of 8 on a scale of 0 to 10

Answer and Explanation

The Correct Answer is {"A":{"answers":"B"},"B":{"answers":"A,B"},"C":{"answers":"B"},"D":{"answers":"A"},"E":{"answers":"A"},"F":{"answers":"B"}}

•   Frequent urination: This is more likely to be associated with a UTI, as frequent urination is a common symptom of UTIs.
•   Low back pain: This can be associated with both preterm labor and a UTI. Low back pain can be a sign of labor, and it can also be a symptom of a UTI.
•   Temperature of 38.3°C (101°F): This is more likely to be associated with a UTI, as fever is a common symptom of infections, including UTIs.
•   Strong urge to push: This is more likely to be associated with preterm labor, as an urge to push can be a sign of labor.
•   Contractions every 1.5 minutes: This is more likely to be associated with preterm labor, as frequent contractions are a sign of labor.
•   Pain level of 8 on a scale of 0 to 10: This can be associated with both preterm labor and a UTI. Severe pain can be a sign of labor, and it can also be a symptom of a UTI. Please note that these are potential associations and the healthcare provider should be informed immediately for further evaluation and management. It’s important to continue following the provider’s prescriptions and closely monitor the client’s condition.

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Correct Answer is D

Explanation

Choice A rationale
Cocaine use is a risk factor for placental abruption, but it is not the most common one. Cocaine can cause vasoconstriction and decrease placental perfusion, leading to abruption.
Choice B rationale
Blunt force trauma, such as that from a car accident or physical violence, can cause placental abruption. However, it is not the most common risk factor.
Choice C rationale
Cigarette smoking is a risk factor for many pregnancy complications, including placental abruption. Smoking can impair placental function and lead to poor pregnancy outcomes.
Choice D rationale
Hypertension is the most common risk factor for placental abruption. High blood pressure can cause damage to the blood vessels in the placenta, leading to abruption.

A. I should start giving solid foods to my baby when they are 3 months old. B. I should wait until my baby is 4 months old to begin fluoride supplements. C. I should wait to give fruit juice until my baby is 6 months old. D. I should introduce cow’s milk when my baby is 9 months old.

Correct Answer is C

Explanation

Choice A rationale
Introducing solid foods to a baby at 3 months old is not recommended. The American Academy of Pediatrics suggests exclusive breastfeeding for the first 6 months of life.
Choice B rationale
The American Dental Association recommends that a child is at least 6 months old before they start using fluoride supplements, and only if the child is at high risk for tooth decay and the primary drinking water source is deficient in fluoride.
Choice C rationale
Waiting to give fruit juice until a baby is 6 months old is a correct practice. The American Academy of Pediatrics recommends that fruit juice should not be introduced into the diet of infants before 6 months of age.
Choice D rationale
Introducing cow’s milk when a baby is 9 months old is not recommended. The American Academy of Pediatrics advises against introducing cow’s milk until a child is 12 months old.

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Naxlex Comprehensive Predictor Exams

A nurse in a provider’s office is caring for a client who is at 34 weeks of gestation and at risk for placental abruption. Which of the following is the most common risk factor for abruption?

Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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