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?
Mild lower abdominal cramping
Change in vaginal discharge color
Brief episode of low back pain
Occasional fetal hiccups
The Correct Answer is A
Mild lower abdominal cramping is a sign of preterm labor and 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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Fetal heart rate decelerations indicate fetal distress because they reflect a decrease in blood flow or oxygen to the fetus.
Choice A is wrong because a fetal heart rate of 150/min is within the normal range of 110-160 bpm.Choice B is wrong because a fetal heart rate variability of 10/min is considered moderate and reassuring.Choice D is wrong because fetal heart rate accelerations are a sign of fetal well-being and indicate that the fetus is responding to stimuli.
Correct Answer is D
Explanation
Bluish-white secretions.
This indicates a positive FFN test, which means that the fetal fibronectin protein has been released into the cervical secretions.Fetal fibronectin is a protein that helps keep the amniotic sac attached to the lining of the uterus.A positive FFN test means that there is a higher risk of preterm labor.
Choice A is wrong because yellow-green discharge could indicate an infection, not preterm labor.
Choice B is wrong because bloody show is a sign of cervical dilation, not preterm labor.
Choice C is wrong because sticky mucus plug is a normal part of pregnancy, not preterm labor.
A negative FFN test means that there is a less than 1% chance of preterm labor within the next 2 weeks.The FFN test is used to rule out preterm labor and avoid unnecessary treatments.It is approved for use in women with symptoms of preterm labor who are 24 to 35 weeks pregnant.
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