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A nurse is meeting with a group of pregnant clients who are in their last trimester to teach them the signs that may indicate they are going into labor.
The nurse determines the session is successful after the clients correctly choose which signs as an indication of starting labor? Select all that apply.

Constipation.

Weight gain.

Bloody show.

Lightening.

Backache.

Answer and Explanation

Correct Answer : C

The correct answers are choices C, D, and E.

Choice A rationale:

Constipation is not a sign of labor. It is more commonly associated with pregnancy rather than the onset of labor.

Choice B rationale:

Weight gain is not a sign of labor. In fact, weight gain often stops as labor approaches.

Choice C rationale:

Bloody show is a sign of labor. It is the discharge of the mucus plug that seals the cervix during pregnancy.

Choice D rationale:

Lightening, or the baby dropping into the pelvis, is a sign of labor.

Choice E rationale:

Backache can be a sign of labor, as the muscles and joints stretch and shift in preparation for childbirth.

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Correct Answer is D

Explanation

The correct answer is choice D.

Choice A rationale:

Superficial structures above the muscle refer to first-degree lacerations, which only involve the skin of the perineum and vaginal mucosa.

Choice B rationale:

A fourth-degree laceration does not stop at the anterior rectal wall. It extends through the anal sphincter and into the rectal mucosa.

Choice C rationale:

While a fourth-degree laceration does involve the anal sphincter muscle, it also includes the underlying rectal mucosa.

Choice D rationale:

A fourth-degree laceration involves the perineal muscles, the anal sphincter, and the underlying rectal mucosa.

A. Constipation. B. Weight gain. C. Bloody show. D. Lightening. E. Backache.

Correct Answer is ["C"]

Explanation

The correct answers are choices C, D, and E.

Choice A rationale:

Constipation is not a sign of labor. It is more commonly associated with pregnancy rather than the onset of labor.

Choice B rationale:

Weight gain is not a sign of labor. In fact, weight gain often stops as labor approaches.

Choice C rationale:

Bloody show is a sign of labor. It is the discharge of the mucus plug that seals the cervix during pregnancy.

Choice D rationale:

Lightening, or the baby dropping into the pelvis, is a sign of labor.

Choice E rationale:

Backache can be a sign of labor, as the muscles and joints stretch and shift in preparation for childbirth.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When reviewing the medical record of a postpartum client, the nurse notes that the client has experienced a fourth-degree laceration.The nurse understands that the laceration extends to which area?.

Correct Answer is D

Explanation

Correct Answer is ["C"]

Explanation

A client presents to the health care clinic for her first prenatal checkup.What nutritional supplement should the nurse discuss with the client to prevent neural tube defects in the developing fetus?

A nurse is caring for a client who is at 37 weeks of gestation and has placenta previa.The client asks the nurse why the provider does not do an internal examination.Which of the following explanations of the primary reason should the nurse provide?

A nurse is providing teaching about comfort measures for breast engorgement to a client who is postpartum and is breastfeeding.Which of the following statements by the client indicates a need for further teaching?.

A nurse is discussing postpartum depression with a newly licensed nurse.Which of the following statements by the newly licensed nurse indicates an understanding of this condition?.

The client is being rushed into the labor and delivery unit. At which station would the nurse document the fetus immediately prior to birth? (Enter a numerical value)

The nurse is preparing a teaching plan for a pregnant woman about the signs and symptoms to be reported immediately to her health care provider.Which signs and symptoms would the nurse include? Select all that apply.

A nurse midwife is examining a client who is a primigravida at 42 weeks of gestation and states that she believes she is in labor.Which of the following findings confirm to the nurse that the client is in labor?.

A nurse is caring for a client who experienced a vaginal delivery 8 hours ago.When palpating the client's abdomen, at which of the following positions should the nurse expect to find the uterine fundus?.