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 D
Explanation
The correct answer is choice D. To stabilize the lower uterine segment.Palpating the uterus after delivery helps to determine its size, firmness and rate of descent, which are indicators of its involution.The nurse places one hand just above the symphysis pubis to support the lower uterine segment and prevent it from being pushed down by the pressure of the other hand on the fundus.This prevents complications such as uterine inversion or prolapse.
Choice A is wrong because uterine prolapse is not prevented by placing one hand above the symphysis pubis, but by supporting the lower uterine segment with that hand.
Choice B is wrong because uterine hemorrhage is not prevented by placing one hand above the symphysis pubis, but by massaging the fundus to make it firm and contract the blood vessels.
Choice C is wrong because uterine inversion is not prevented by placing one hand above the symphysis pubis, but by stabilizing the lower uterine segment with that hand and avoiding excessive traction on the umbilical cord.
Correct Answer is A
Explanation
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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