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 B
Explanation
The correct answer is choice B. Attachment.
Attachment is the process of developing a strong emotional bond between the mother and the infant.
It is influenced by factors such as maternal hormones, infant cues, and environmental support.
Attachment behaviors include holding, touching, talking, and gazing at the infant.
Choice A is wrong because bonding is the initial attraction felt by the parents for their infant.
It usually occurs within the first few minutes or hours after birth and is facilitated by skin-to-skin contact.
Choice C is wrong because engrossment is the term used to describe the father’s absorption, preoccupation, and interest in the infant.
It involves visual awareness, tactile awareness, perception of newborn as perfect, strong attraction, awareness of distinct features, extreme elation, and increased sense of self-esteem.
Choice D is wrong because entrainment is the term used to describe the infant’s movement in response to speech.
The infant synchronizes his or her movements with the rhythm and pitch of the adult’s voice.
Correct Answer is C
Explanation
The correct answer is choice C. “I am starting to feel like I can handle being a mother.” This statement indicates that the client is in the informal stage of maternal role attainment, which is characterized by a sense of confidence and competence in the maternal role.
The client develops her own style of mothering and integrates feedback from others.
Choice A is wrong because it reflects the initial stage of maternal role attainment, which is marked by a strong emotional attachment to the newborn.
Choice B is wrong because it suggests that the client is in the formal stage of maternal role attainment, which involves learning the skills and behaviors of mothering from external sources such as healthcare providers and family members.
Choice D is wrong because it implies that the client is in the anticipatory stage of maternal role attainment, which occurs during
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