A client experiencing contractions presents at a health care facility.
Assessment conducted by the nurse reveals that the client has been experiencing Braxton Hicks contractions.
The nurse has to educate the client on the usefulness of Braxton Hicks contractions.
Which role do Braxton Hicks contractions play in aiding labor?.

These contractions increase oxytocin sensitivity.

These contractions increase the release of prostaglandins.

These contractions make maternal breathing easier.

These contractions help in softening and ripening the cervix.

Answer and Explanation

The Correct Answer is D

The correct answer is choice D.

Choice A rationale:

While oxytocin sensitivity is important for labor, there is no evidence to suggest that Braxton Hicks contractions increase oxytocin sensitivity.

Choice B rationale:

Prostaglandins play a crucial role in labor by causing the cervix to soften and dilate and the uterus to contract. However, there is no evidence to suggest that Braxton Hicks contractions increase the release of prostaglandins.

Choice C rationale:

While maternal comfort is important during labor, there is no evidence to suggest that Braxton Hicks contractions make maternal breathing easier.

Choice D rationale:

Braxton Hicks contractions help in softening and ripening the cervix, which is an important part of preparing for labor.

Nursing Test Bank

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

The correct answer is choice B.

Choice A rationale:

Focus on the family unit and its members is more characteristic of the “letting-go” phase.

Choice B rationale:

Expressions of excitement are common in the dependent, taking in phase as the mother is focused on her own needs and the experience of childbirth.

Choice C rationale:

Eagerness to learn newborn care skills is more characteristic of the “taking-hold” phase.

Choice D rationale:

Lack of appetite is not a typical characteristic of the dependent, taking in phase.

A. 4, 1, 1, 1. B. 3, 2, 1. C. 4, 2, 2, 1, 1. D. 3, 2, 1, 1, 1.

Correct Answer is A

Explanation

The correct answer is choice A.

Choice A rationale:

The GTPAL system stands for Gravida, Term, Preterm, Abortions, and Living children. In this case, the woman has been pregnant 4 times (Gravida 4), has had one term birth (Term 1), one preterm birth (Preterm 1), one abortion/miscarriage (Abortions 1), and one living child (Living 1). Therefore, the correct classification is 4, 1, 1, 1, 1.

Choice B rationale:

This choice incorrectly classifies the number of pregnancies (Gravida should be 4, not 3) and does not account for the preterm birth or the number of living children.

Choice C rationale:

This choice overcounts the number of term births and living children.

Choice D rationale:

This choice incorrectly classifies the number of pregnancies (Gravida should be 4, not 3) and overcounts the number of living children.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who experienced a vaginal birth 12 hr ago.The nurse recognizes the client is in the dependent, taking in phase of maternal postpartum adjustment.Which of the following findings should the nurse expect during this phase?.

Correct Answer is B

Explanation

Utilize the GTPAL system to classify a woman who is currently 18 weeks pregnant.This is her 4th pregnancy.She gave birth to one baby vaginally at 26 weeks who died, experienced a miscarriage, and has one living child who was delivered at 38 weeks gestation.

Correct Answer is A

Explanation

Which documentation in the health record is most correct for the third stage of labor?

A nurse is completing discharge instructions for a new mother and her 2-day-old newborn.The mother asks, "How will I know if my baby gets enough breast milk?" which of the following responses should the nurse make?.

A nurse in a clinic is caring for a client who is 3 weeks postpartum following the birth of a healthy newborn.The client reports feeling "down" and sad, having no energy, and wanting to cry.Which of the following is a priority action by the nurse?.

The nurse is preparing a teaching plan for a pregnant woman about the signs and symptoms to be reported immediately to her health care provider.Which signs and symptoms would the nurse include? Select all that apply.

When reviewing the medical record of a postpartum client, the nurse notes that the client has experienced a fourth-degree laceration.The nurse understands that the laceration extends to which area?.

A nurse is assessing a postpartum woman.Which behavior would the nurse interpret as an indication that the woman is entering the taking-hold phase of the postpartum period?

Which action would be a priority for the nurse to complete immediately after the delivery of a 40-week gestation newborn?.

A nurse is caring for a client who is postpartum and has a prescription for Rho (D) immunoglobulin.The nurse should verify which of the following prior to administration?.