A nurse is educating a client who is at risk for pre-term labor about measures to prevent it from occurring.
Which of the following instructions should the nurse include?
Avoid sexual intercourse until term
Drink at least 2 L of water per day
Lie down when feeling contractions
Take aspirin for pelvic pain
The Correct Answer is B
Drinking enough water can help prevent dehydration, which can trigger preterm labor contractions. Dehydration can also cause low amniotic fluid levels, which can affect fetal growth and development.
Choice A is wrong because avoiding sexual intercourse until term is not necessary for most women at risk for preterm labor. Sexual activity does not cause preterm labor unless there are other complications, such as placenta previa or cervical insufficiency.
Choice C is wrong because lying down when feeling contractions may not stop preterm labor. If a woman has regular contractions that cause cervical change, she should seek medical attention as soon as possible. Lying down may also reduce blood flow to the uterus and placenta, which can affect fetal oxygenation.
Choice D is wrong because taking aspirin for pelvic pain is not recommended for pregnant women. Aspirin can increase the risk of bleeding and affect fetal blood circulation.
Pelvic pain may be a sign of preterm labor or other complications, so it should be evaluated by a health care provider
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Decreased frequency and intensity of contractions indicates that the client’s condition is improving.Preterm labor occurs when regular contractions result in the opening of your cervix before 37 weeks of pregnancy.
If preterm labor can’t be stopped, your baby will be born early and may have health problems.
Choice B is wrong because increased cervical dilation and effacement means that the cervix is thinning and opening more, which are signs of labor progression.
Choice C is wrong because increased amount and color of vaginal discharge may indicate infection, bleeding, or rupture of membranes, which are complications of preterm labor.
Choice D is wrong because decreased fetal heart rate variability means that the baby’s heart rate is not changing much, which may indicate fetal distress or hypoxia.A normal fetal heart rate variability is between 6 and 25 beats per minute.
Correct Answer is B
Explanation
Betamethasone is a corticosteroid that is given to pregnant women who are at risk of preterm delivery to enhance fetal lung maturity.Betamethasone stimulates the production of surfactant, a substance that lubricates the lungs and prevents them from collapsing when the baby breathes.This reduces the risk of respiratory distress syndrome and other complications in preterm infants.
Choice A is wrong because betamethasone does not reduce inflammation in the uterus.
Choice C is wrong because betamethasone does not prevent infection in the amniotic fluid.
Choice D is wrong because betamethasone does not increase blood flow to the placenta.
Normal ranges for gestational age are 37 to 42 weeks.
Preterm birth is defined as delivery before 37 weeks of gestation.Antenatal corticosteroids are recommended for women between 24 and 34 weeks of gestation who are at risk of preterm delivery within 7 days, and may be considered for women at 23 weeks of gestation or between 34 and 37 weeks of gestation depending on the clinical scenario.
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