A nurse is educating a client at the end of her second trimester about car safety.
Which statement by the client indicates a correct understanding of the nurse's education?

I will wear the seatbelt under my arm instead of over my shoulder to reduce pressure on my abdomen.

I will position the lap belt under my abdomen and the shoulder belt between my breasts and above my abdomen to minimize the risk of abdominal trauma.

I will avoid wearing a seatbelt during my pregnancy to protect the baby.

I will remove the seatbelt when driving at a slow speed to reduce the risk of abdominal trauma.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Wearing the seatbelt under the arm is not recommended as it may not distribute the force of a collision evenly and could increase the risk of injury to both the mother and the baby. Proper positioning is crucial for safety.

Choice B rationale

Positioning the lap belt under the abdomen and the shoulder belt between the breasts and above the abdomen minimizes the risk of abdominal trauma and ensures both mother and baby are protected in the event of a collision. This is the recommended positioning for pregnant women.

Choice C rationale

Avoiding a seatbelt during pregnancy is not advised as it significantly increases the risk of injury or death for both the mother and the baby in the event of an accident. Seatbelts are crucial for safety.

Choice D rationale

Removing the seatbelt when driving at a slow speed still poses a significant risk. Even at low speeds, sudden stops or collisions can cause harm to both mother and baby. Consistent seatbelt use is essential.

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Correct Answer is ["A","B","D"]

Explanation

Choice A rationale

Vaginal spotting can be an early sign of preterm labor as it may indicate changes in the cervix.

Choice B rationale

Regular contractions occurring every 10 minutes or less suggest the onset of labor.

Choice C rationale

Weight gain is not a sign of preterm labor and is common in normal pregnancy progression.

Choice D rationale

Lower back pain or pelvic pressure can indicate preterm labor as these symptoms reflect changes in the lower uterus and cervix.

A. Placenta previa. B. Abruptio placentae. C. Uterine rupture. D. Amniotic fluid embolism.

Correct Answer is B

Explanation

Choice A rationale

Placenta previa involves painless vaginal bleeding due to the placenta covering the cervical opening. It does not typically cause significant abdominal pain or the hemodynamic instability described in the scenario.

Choice B rationale

Abruptio placentae is the premature separation of the placenta from the uterine wall, causing severe abdominal pain, vaginal bleeding, and can lead to shock, consistent with the assessment findings.

Choice C rationale

Uterine rupture, often a complication in women with a previous cesarean section, involves the tearing of the uterine wall, causing sudden, severe abdominal pain and bleeding. However, it is less common than placental abruption.

Choice D rationale

Amniotic fluid embolism is a rare but life-threatening condition where amniotic fluid enters the mother's bloodstream, causing cardiovascular collapse and severe respiratory distress, which is less consistent with the described findings.

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A nurse is educating a client at the end of her second trimester about car safety.Which statement by the client indicates a correct understanding of the nurse's education?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client at 34 weeks gestation arrives to OB triage and is concerned she may be in preterm labor.Which of the following are signs and symptoms of preterm labor? (Select all that apply.)

Correct Answer is ["A","B","D"]

Explanation

A nurse reviews the assessment findings and determines the findings are consistent with which of the following complications?

Correct Answer is B

Explanation

A nurse is caring for a client who is at 32 weeks of gestation.Continuous fetal monitoring and vital signs per protocol are required.Prepare for cesarean birth.A nurse reviews the assessment findings and determines the findings are consistent with which of the following complications?

A nurse in a provider's office is caring for a client who is at 37 weeks of gestation and at risk for placental abruption.The nurse should recognize that which of the following is a risk factor for abruption?

A nurse is preparing to administer magnesium sulfate IV to a client who is 30 weeks gestation and experiencing preterm labor.The nurse explains to the client the primary purpose of this medication for her condition is to do which of the following?

A nurse is admitting a client at 33 weeks gestation who experienced PPROM 4 hours ago.The client is asking when her next vaginal exam will be since her first exam revealed she is 2 cm dilated.Which of the following reasons does the nurse explain for not performing another vaginal exam?

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A nurse is caring for a group of clients on an antepartum unit.Which of the following clients would be the nurse's priority?

A nurse is educating a client at the end of her second trimester about car safety.
Which statement by the client indicates a correct understanding of the nurse's education?