A client is concerned about the risk factors for pre-term labor.
Which of the following factors should the nurse include in the discussion?
Advanced maternal age
Full-term gestation
Absence of medical or obstetric complications
Lack of uterine contractions before 37 weeks of gestation
The Correct Answer is A
Advanced maternal age is a risk factor for preterm labor, which occurs when regular contractions begin to open the cervix before 37 weeks of pregnancy.
Preterm labor can lead to premature birth, which can have serious health consequences for the baby.
Choice B is wrong because full-term gestation is not a risk factor for preterm labor. Full-term gestation means that the pregnancy lasts between 39 and 40 weeks, which is the ideal duration for the baby’s development.
Choice C is wrong because absence of medical or obstetric complications is not a risk factor for preterm labor. Some medical or obstetric complications that can increase the risk of preterm labor include urinary tract infections, high blood pressure, bleeding from the vagina, placenta previa, diabetes and blood clotting problems.
Choice D is wrong because lack of uterine contractions before 37 weeks of gestation is not a risk factor for preterm labor. Uterine contractions are a sign of preterm labor, not a cause of it.
Some other risk factors for preterm labor that the nurse should include in the discussion are:
• Previous preterm delivery or preterm labor
• Multiple gestation (twins, triplets or more)
• Abnormalities of the reproductive organs, such as a short cervix
• Ethnicity (African American and American Indian/Alaska Native mothers have higher rates of preterm birth than white mothers)
• Age of the mother (women younger than 18 are more likely to have a preterm delivery)
• Tobacco use and substance abuse
• Short time period between pregnancies (less than 18 months)
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The correct answer is A. Decreased hematocrit and hemoglobin levels.This is because postpartum hemorrhage can lead to hypovolemia which can cause a decrease in hematocrit and hemoglobin levels.Increased white blood cell and platelet counts (option B) are not expected findings in postpartum hemorrhage.Decreased prothrombin time and partial thromboplastin time (option C) are not expected findings in postpartum hemorrhage.Increased fibrinogen and fibrin degradation products (option D) are not expected findings in postpartum hemorrhage.
Correct Answer is A
Explanation
Normal ranges for postpartum psychosis are not applicable, as it is a rare and severe psychiatric disorder that affects 1-2 per 1,000 women.It usually occurs within the first 2 weeks after delivery, but can occur up to 12 months postpartum.
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