A client with pre-term labor is at 28 weeks of gestation.

Which intervention should the nurse prioritize to monitor fetal well-being?

Monitoring vital signs

Monitoring cervical changes

Monitoring fluid intake and output

Monitoring maternal preference

Answer and Explanation

The Correct Answer is B

Monitoring cervical changes.

This is because cervical changes indicate the progress of labor and the risk of preterm delivery.

Preterm labor is defined as regular uterine contractions with cervical dilation and effacement before 37 weeks of gestation.

The nurse should assess the cervical length, dilation, effacement, and position frequently to determine the need for interventions to stop or delay labor.

Choice A is wrong because monitoring vital signs is not specific to fetal well-being.

Vital signs can reflect maternal health, infection, or complications, but they do not directly measure fetal status.

Choice C is wrong because monitoring fluid intake and output is not specific to fetal well-being.

Fluid balance can affect maternal hydration, electrolytes, and blood pressure, but it does not directly measure fetal status.

Choice D is wrong because monitoring maternal preference is not specific to fetal well-being.

Maternal preference can affect the comfort, satisfaction, and coping of the mother, but it does not directly measure fetal status.

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Correct Answer is C

Explanation

Haemorrhage due to placental abruption.

Placental abruption is a serious complication of preterm labor that occurs when the placenta separates from the wall of the uterus before delivery.This can cause heavy bleeding and endanger the life of both the mother and the baby.

Choice A is wrong because increased fetal movement is not a complication of preterm labor.In fact, decreased fetal movement may indicate fetal distress.

Choice B is wrong because decreased uterine contractions are not a complication of preterm labor.Preterm labor is defined as regular contractions that result in the opening of the cervix before 37 weeks of pregnancy.

Choice D is wrong because increased cervical dilation is not a complication of preterm labor, but a sign of it.Cervical dilation indicates that the cervix is preparing for delivery and may lead to preterm birth.

A. Mild lower abdominal cramping B. Change in vaginal discharge color C. Brief episode of low back pain D. Occasional fetal hiccups

Correct Answer is A

Explanation

Mild lower abdominal cramping is a sign of preterm laborand should be prioritized as a potential complication.Preterm labor occurs when regular contractions begin to open your cervix before 37 weeks of pregnancy.

A full-term pregnancy should last about 40 weeks.

Choice B is wrong because a change in vaginal discharge color is not a specific sign of preterm labor.

It could be due to other factors such as infection or normal hormonal changes.

Choice C is wrong because a brief episode of low back pain is not a sign of preterm labor.

It could be due to posture, muscle strain or other causes.

Choice D is wrong because occasional fetal hiccups are not a sign of preterm labor.

They are normal movements of the fetus and do not indicate any distress or danger.

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A client with pre-term labor is at 28 weeks of gestation. Which intervention should the nurse prioritize to monitor fetal well-being?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who has preterm labor. Which manifestation should the nurse identify as a complication of preterm labor?

Correct Answer is C

Explanation

A nurse is assessing a pregnant client at 28 weeks of gestation. Which finding should the nurse prioritize as a potential sign of pre-term labor?

Correct Answer is A

Explanation

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A client with pre-term labor is at 28 weeks of gestation.

Which intervention should the nurse prioritize to monitor fetal well-being?