A nurse is caring for a client who has preterm labor.
Which manifestation should the nurse identify as a complication of preterm labor?
Increased fetal movement
Decreased uterine contractions
Haemorrhage due to placental abruption
Increased cervical dilation
The Correct Answer is C
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.
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Related Questions
Correct Answer is A
Explanation
A decrease in fetal heart rate can indicate fetal distress due to infection, hypoxia, or cord compression.
Normal fetal heart rate is between 110 and 160 beats per minute.
Choice B. Increased uterine contractions is wrong because it is a normal sign of pre-term labor and does not necessarily indicate infection.
Choice C. Decreased fluid intake is wrong because it is not a specific sign of infection and can have other causes such as nausea, vomiting, or decreased thirst.
Choice D. Decreased cervical changes is wrong because it is also not a specific sign of infection and can indicate ineffective contractions or cervical incompetence.
Correct Answer is B
Explanation
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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