A nurse is performing a speculum examination on a client who is at 26 weeks of gestation and has pre-term labor.

Which of the following findings indicates a positive FFN test?

Yellow-green discharge

Bloody show

Sticky mucus plug

Bluish-white secretions

Answer and Explanation

The Correct Answer is D

Bluish-white secretions.

This indicates a positive FFN test, which means that the fetal fibronectin protein has been released into the cervical secretions. Fetal fibronectin is a protein that helps keep the amniotic sac attached to the lining of the uterus. A positive FFN test means that there is a higher risk of preterm labor.

Choice A is wrong because yellow-green discharge could indicate an infection, not preterm labor.

Choice B is wrong because bloody show is a sign of cervical dilation, not preterm labor.

Choice C is wrong because sticky mucus plug is a normal part of pregnancy, not preterm labor.

A negative FFN test means that there is a less than 1% chance of preterm labor within the next 2 weeks. The FFN test is used to rule out preterm labor and avoid unnecessary treatments. It is approved for use in women with symptoms of preterm labor who are 24 to 35 weeks pregnant.

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Correct Answer is C

Explanation

Fetal heart rate decelerations indicate fetal distress because they reflect a decrease in blood flow or oxygen to the fetus.

Choice A is wrong because a fetal heart rate of 150/min is within the normal range of 110-160 bpm.Choice B is wrong because a fetal heart rate variability of 10/min is considered moderate and reassuring.Choice D is wrong because fetal heart rate accelerations are a sign of fetal well-being and indicate that the fetus is responding to stimuli.

A. Administering intravenous fluids B. Administering tocolytics C. Administering corticosteroids D. Providing emotional support

Correct Answer is B

Explanation

The correct answer is choice B. Administering tocolytics.Tocolytics are drugs that inhibit uterine contractions and can delay preterm labor for a short time.This can allow time for the administration of antenatal corticosteroids and transfer to a tertiary care facility if necessary.

Choice A is wrong because administering intravenous fluids does not improve blood flow to the placenta and fetus.It may also increase the risk of pulmonary edema in women with preterm labor.

Choice C is wrong because administering corticosteroids does not improve blood flow to the placenta and fetus.Corticosteroids are given to enhance fetal lung maturity and reduce the risk of neonatal complications such as respiratory distress syndrome, intracranial hemorrhage, and necrotizing enterocolitis.

However, they do not stop preterm labor.

Choice D is wrong because providing emotional support does not improve blood flow to the placenta and fetus.Emotional support is important for women with preterm labor, but it is not a priority intervention to prevent fetal hypoxia or acidosis.

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A nurse is performing a speculum examination on a client who is at 26 weeks of gestation and has pre-term labor. Which of the following findings indicates a positive FFN test?

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Correct Answer is C

Explanation

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Correct Answer is B

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A nurse is performing a speculum examination on a client who is at 26 weeks of gestation and has pre-term labor.

Which of the following findings indicates a positive FFN test?