A nurse is providing discharge instructions to a client who had pre-term labor at 32 weeks of gestation and was prescribed bed rest at home.

Which of the following statements by the client indicates an understanding of the teaching?

“I will drink at least eight glasses of water every day.”

“I will lie on my back with a pillow under my knees.”

“I will avoid sexual intercourse until I reach term.”

“I will call my doctor if I have more than four contractions in an hour.”

Answer and Explanation

The Correct Answer is D

“I will call my doctor if I have more than four contractions in an hour.” This statement indicates that the client understands the signs of preterm labor and when to seek medical attention. Preterm labor is defined as having regular contractions and cervical changes before 37 weeks of gestation. More than four contractions in an hour may indicate that preterm labor is occurring and requires prompt evaluation.

Choice A is wrong because drinking at least eight glasses of water every day is not a specific instruction for preventing preterm labor. However, dehydration can trigger contractions and should be avoided.

Choice B is wrong because lying on the back with a pillow under the knees can reduce blood flow to the uterus and the baby. This position can also increase the risk of blood clots in the legs. A better position is lying on the left side, which improves circulation and reduces pressure on the cervix.

Choice C is wrong because avoiding sexual intercourse until reaching term is not necessary for most women with a history of preterm labor. Sexual activity does not cause preterm labor or premature rupture of membranes (PROM). However, some women may be advised to abstain from sex if they have certain conditions, such as placenta previa or a short cervix.

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Correct Answer is B

Explanation

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

A. Decreased fetal movement B. Increased vaginal discharge C. Pelvic pressure D. All of the above

Correct Answer is D

Explanation

All of the above.The nurse should include all of these signs and symptoms in the teaching as they may indicate pre-term labor.Pre-term labor occurs when regular contractions begin to open the cervix before 37 weeks of pregnancy.

Choice A is wrong because decreased fetal movement is not a normal sign of pre-term labor, but it may indicate fetal distress or other complications.

Choice B is wrong because increased vaginal discharge is not a normal sign of pre-term labor, but it may indicate infection or rupture of membranes.

Choice C is wrong because pelvic pressure is not a normal sign of pre-term labor, but it may indicate cervical dilation or descent of the fetus.

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A nurse is providing discharge instructions to a client who had pre-term labor at 32 weeks of gestation and was prescribed bed rest at home. Which of the following statements by the client indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is B

Explanation

A nurse is teaching a client who is at risk for pre-term labor about the signs and symptoms to report to the provider. Which of the following should the nurse include in the teaching?

Correct Answer is D

Explanation

A nurse is administering terbutaline to a client who is at 31 weeks of gestation and has pre-term labor. Which of the following findings should the nurse monitor as an adverse effect of this medication?

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A client at 30 weeks of gestation is experiencing pre-term labor. Which intervention should the nurse anticipate to suppress uterine contractions?

A nurse is reviewing the history of a client who is at 28 weeks of gestation and has pre-term labor. Which of the following factors increases the risk of pre-term labor?

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A nurse is providing discharge instructions to a client who had pre-term labor at 32 weeks of gestation and was prescribed bed rest at home.

Which of the following statements by the client indicates an understanding of the teaching?