A nurse is assessing a client who presents to the labor and delivery unit reporting the onset of contractions. Which of the following findings should the nurse identify as a manifestation of false labor?

Contraction intensity increased by ambulation

Slow change in dilation and effacement

Presence of bloody show

Intermittent painless contractions

Answer and Explanation

The Correct Answer is D

A. Contraction intensity increased by ambulation. This finding is typical of true labor, as walking or changing positions usually causes contractions to increase in strength, duration, and frequency. In contrast, false labor contractions often subside with rest or activity changes and do not intensify with movement.
B. Slow change in dilation and effacement. Any change in cervical dilation or effacement, even if slow, is more consistent with true labor. False labor does not produce any significant cervical change, and the cervix remains closed or minimally altered with time or contractions.
C. Presence of bloody show. Bloody show is the expulsion of the mucus plug mixed with blood, a common sign of cervical softening and dilation. This is a key indicator of true labor, as it reflects actual physical changes in preparation for delivery.
D. Intermittent painless contractions. These contractions, also called Braxton Hicks contractions, are a hallmark of false labor. They are usually irregular, mild, and do not lead to cervical changes. They often resolve with hydration, rest, or position changes and are considered a normal part of the body's preparation for labor, not the onset of true labor.

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Correct Answer is D

Explanation

A. Ham sandwich with milk. Ham is pork, which is strictly forbidden in kosher diets. Additionally, kosher law prohibits mixing meat and dairy in the same meal, making this option doubly inappropriate.
B. Bacon and cheese quiche with milk. Bacon is derived from pork and is non-kosher. The combination of meat (if using real bacon) and dairy (cheese and milk) also violates kosher dietary restrictions.
C. Shrimp salad and tomato soup with milk. Shellfish like shrimp are not kosher and are strictly avoided. Even though tomato soup and milk may be acceptable, the presence of shrimp makes this tray non-compliant with kosher laws.
D. Scrambled eggs and toast with milk. Eggs are permitted in a kosher diet as long as they do not contain blood spots, and dairy products like milk are also allowed. Since this meal contains no meat or non-kosher items, it aligns with kosher guidelines.

A. Social worker B. Respiratory therapist C. Assistive personnel D. Occupational therapist

Correct Answer is B

Explanation

A. Social worker. While a social worker can assist with emotional or financial concerns, they are not involved in managing oxygen delivery systems or therapy adherence related to medical devices.
B. Respiratory therapist. The respiratory therapist is the most appropriate team member to consult regarding oxygen delivery methods. They can assess the client’s needs, explain alternatives (e.g., nasal cannula instead of a mask), and help promote comfort and compliance with therapy.
C. Assistive personnel. Assistive personnel can support basic care tasks, but they are not trained to adjust or manage oxygen therapy or address client concerns about medical treatments.
D. Occupational therapist. Occupational therapists assist clients in regaining independence with daily activities, not in managing oxygen therapy. This issue is outside their scope of practice.

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A nurse is assessing a client who presents to the labor and delivery unit reporting the onset of contractions. Which of the following findings should the nurse identify as a manifestation of false labor?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting with food selection for a client who follows kosher dietary traditions. Which of the following food choices should the nurse include on the client's food tray?

Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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