A nurse is caring for a client who is in preterm labor at 32 weeks of gestation. The client asks the nurse. "Will my baby be okay?" Which of the following responses should the nurse offer?
"We have a neonatal unit here that's equipped to handle emergencies."
"Your pregnancy is advanced so your baby should be fine.
"You must be feeling scared and powerless.
"Everyone worries about her baby when she's in labor."
None
None
The Correct Answer is C
Answer: C. "You must be feeling scared and powerless."
Rationale:
A. "We have a neonatal unit here that's equipped to handle emergencies.
This response provides factual information but fails to acknowledge the client's emotional distress. While it may offer some reassurance, it does not directly validate the client's fears or foster therapeutic communication.
B. "Your pregnancy is advanced so your baby should be fine."
This statement offers premature reassurance without addressing the client’s emotional needs. It overlooks the potential risks of preterm birth at 32 weeks and may give a false sense of security, which could undermine trust if complications arise.
C. "You must be feeling scared and powerless."
This response reflects therapeutic communication by acknowledging the client’s emotional experience. It invites further discussion, demonstrates empathy, and builds a trusting relationship, which is essential during high-stress situations like preterm labor.
D. "Everyone worries about her baby when she's in labor."
This generalization minimizes the client’s individual feelings. It may make the client feel dismissed or that her concerns are not unique or important, which can hinder open, supportive communication.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
D) Fetal position is persistent occiput posterior:
A persistent occiput posterior (OP) position, where the fetal occiput is toward the mother's sacrum, is associated with a difficult and prolonged labor, often accompanied by severe backache. In this position, the largest diameter of the fetal head (occipitofrontal diameter) is in direct contact with the mother's sacrum, causing increased pressure and discomfort in the lower back.
A) Fetal attitude is in general flexion:
General flexion of the fetal head, which is the normal attitude during labor, facilitates passage through the birth canal. It is not typically associated with difficult or prolonged labor.
B) Fetal lie is longitudinal:
A longitudinal lie, where the fetus is parallel to the mother's spine, is a normal fetal lie and is not necessarily associated with difficult or prolonged labor.
C) Maternal pelvis is gynecoid:
The gynecoid pelvis is the most favorable type of pelvis for childbirth, facilitating an easier passage for the fetus through the birth canal. It is not typically associated with difficult or prolonged labor.
Correct Answer is C
Explanation
A. Pattern of contractions: While the pattern of contractions is an essential aspect of labor, it alone does not confirm whether the client is experiencing true labor. True labor contractions are typically regular, become stronger over time, and occur at shorter intervals.
B. Rupture of the membranes: Rupture of membranes, also known as the water breaking, can occur in both true and false labor. However, it is not the defining factor in distinguishing true labor.
C. Changes in the cervix: Changes in the cervix, such as cervical dilation and effacement, are indicative of true labor. Cervical dilation and effacement occur progressively during true labor, suggesting that the body is preparing for the birth of the baby.
D. Station of the presenting part: The station of the presenting part refers to the level of the fetal head in the pelvis and is an important aspect of labor progress. However, it alone does not confirm whether the client is experiencing true labor.
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