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

Answer and Explanation

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)

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Correct Answer is A

Explanation

The correct answer is choice A.Retained placental fragments are the most common cause of subinvolution.Subinvolution is a condition where the uterus does not return to its normal size after childbirth.Retained placental fragments prevent the uterus from contracting properly and cause prolonged bleeding and infection.

Choice B is wrong because infection is not the most common cause of subinvolution, but it can be an aggravating factor.Infection can cause inflammation and interfere with the healing of the uterine lining.

Choice C is wrong because uterine fibroids are not the most common cause of subinvolution, but they can be a predisposing factor.Uterine fibroids are benign tumors that can distort the shape of the uterus and impair its contraction.

Choice D is wrong because multiparity is not the most common cause of subinvolution, but it can be a predisposing factor.Multiparity means having given birth more than once, which can weaken the uterine muscles and reduce their ability to contract.

Normal ranges for uterine involution are as follows:

• Uterus weight: decreases from about 1000 g at delivery to about 60 g at six weeks postpartum.

• Uterus height: decreases from about 20 cm above the pubic bone at delivery to about 12 cm at one week postpartum, and then descends into the pelvis by six weeks postpartum.

• Uterus size: decreases from about 20 times its normal size at delivery to about its normal size at six weeks postpartum.

A. You should avoid taking sitz baths until your stitches dissolve B. You should change your perineal pad from back to front C. You should drink plenty of fluids and eat high-fiber foods D. You should resume sexual intercourse as soon as you feel comfortable

Correct Answer is C

Explanation

The correct answer is choice C. You should drink plenty of fluids and eat high-fiber foods.This will help you prevent constipation and ease your bowel movements, which can be painful after an episiotomy.

Choice A is wrong because you should not avoid taking sitz baths until your stitches dissolve.Sitz baths can help reduce the pain, swelling, and bruising around the wound area.

However, you should consult your doctor before taking a sitz bath.

Choice B is wrong because you should not change your perineal pad from back to front.This can introduce bacteria into your wound and increase the risk of infection.You should change your perineal pad from front to back and use a squirt bottle filled with warm water to cleanse the area every time you use the bathroom.

Choice D is wrong because you should not resume sexual intercourse as soon as you feel comfortable.You should wait until your wound is fully healed and your bleeding has stopped, which may take several weeks.You should also use a lubricant and a condom to prevent irritation and infection.

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A client is concerned about the risk factors for pre-term labor. Which of the following factors should the nurse include in the discussion?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What is the most common cause of subinvolution?

Correct Answer is A

Explanation

A nurse is providing discharge teaching to a postpartum client who had a vaginal delivery with an episiotomy. The client asks, “How can I take care of myself at home?” Which of the following responses should the nurse give?

Correct Answer is C

Explanation

A nurse is reviewing the laboratory results of a postpartum client who had a hemorrhage due to uterine atony. Which finding would be expected in this client?

A nurse is caring for a client who is in the informal stage of maternal role attainment. Which of the following statements by the client indicates an understanding of this stage?

The nurse is palpating a patient’s uterus 12 hours after a vaginal delivery. For which reason does the nurse place one hand just above the symphysis pubis?

A nurse is assessing a postpartum client who received Rho (D) immune globulin (RhoGAM) before discharge. Which statement by the client indicates a need for further teaching?

A nurse is caring for a postpartum client who has decided not to breastfeed her infant and has chosen formula feeding instead. The nurse should instruct the client that:

A nurse is caring for a postpartum client who has been diagnosed with postpartum depression (PPD). Which of the following interventions should be included in her plan of care?

A nurse is caring for a postpartum client who had a vaginal delivery with an episiotomy. Which action would help prevent infection of the perineal area?

A nurse is reviewing the medical records of four clients who are pregnant and planning to have a vaginal birth after cesarean (VBAC). Which of the following clients has the highest risk of uterine rupture during labor?

A client is concerned about the risk factors for pre-term labor.

Which of the following factors should the nurse include in the discussion?