A nurse is reinforcing teaching about preterm labor with a client who is at 28 weeks of gestation. Which of the following statements by the client indicates an understanding of the teaching?
"I have contractions more often than every 10 minutes, might be in preterm labor.”
"I can take a daily iron supplement to prevent preterm labor.”
"I should expect to feel pain in my upper right abdomen if I'm having preterm labor.”
"I might be experiencing preterm labor if walking stops my contractions."
The Correct Answer is A
(D) "I might be experiencing preterm labor if walking stops my contractions."
Walking or changing positions may temporarily alleviate contractions in some cases, but this does not necessarily indicate preterm labor. In fact, true preterm labor contractions typically continue despite activity changes. Therefore, this statement does not demonstrate an accurate understanding of preterm labor signs.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
(A) Reposition the newborn every 2 to 3 hr:
Repositioning the newborn every 2 to 3 hours helps ensure uniform exposure to the phototherapy lights, maximizing the effectiveness of the treatment. This prevents uneven distribution of light and reduces the risk of pressure ulcers or skin breakdown from prolonged immobility.
(B) Monitor the newborn's blood glucose level every 2 hr:
Monitoring the newborn's blood glucose level every 2 hours is not directly related to phototherapy for hyperbilirubinemia. While monitoring blood glucose levels may be necessary for certain newborns, especially those at risk for hypoglycemia, it is not a routine intervention during phototherapy.
(C) Give the newborn 30 ml of distilled water after each feeding:
Giving the newborn distilled water after each feeding is not indicated during phototherapy for hyperbilirubinemia. Breast milk or formula is sufficient for hydration, and providing additional water can interfere with adequate feeding and potentially lead to electrolyte imbalances.
(D) Apply a water-based ointment to the newborn's skin every 4 to 6 hr:
Applying a water-based ointment to the newborn's skin is not typically recommended during phototherapy. Ointments can create a barrier on the skin, reducing the effectiveness of the phototherapy treatment by blocking light absorption.
Correct Answer is D
Explanation
(A) Restrict fluids to 1,000 mL/day:
Restricting fluids may lead to dehydration, which can exacerbate nausea and other symptoms of morning sickness. It is important for pregnant individuals to stay hydrated, so fluid restriction is not recommended unless otherwise directed by a healthcare provider.
(B) Take an over-the-counter antacid:
While antacids may provide relief for heartburn or indigestion, they are not typically recommended as a first-line treatment for nausea associated with morning sickness. Antacids may have limited effectiveness in managing nausea, and their use should be guided by a healthcare provider.
(C) Increase intake of fresh fruits:
While fresh fruits are nutritious and provide essential vitamins and minerals, they may not be well-tolerated by individuals experiencing morning sickness, especially if they have strong flavors or odors. Encouraging the client to eat bland foods in the morning may be more effective in managing nausea during early pregnancy.
(D) Eat dry, bland foods in the morning:
Encouraging the client to eat dry, bland foods in the morning can help alleviate nausea associated with morning sickness. These foods are generally easier on the stomach and less likely to trigger nausea compared to richer or spicier foods. Examples include crackers, toast, or dry cereal. Eating small, frequent meals throughout the day can also help manage nausea associated with pregnancy.
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