A nurse is reviewing true labor vs false labor with a pregnant client. What statement by the client indicates teaching has been effective?

"In false labor, my contractions can decrease by walking or changing positions"

"In true labor, my contractions will be painless"

"When I'm in true labor, my cervix won't dilate."

"In false labor, I will be able to feel the fetuses presenting part in my pelvis"

Answer and Explanation

The Correct Answer is A

A. "In false labor, my contractions can decrease by walking or changing positions." In false labor, also called Braxton Hicks contractions, the contractions often decrease with activity such as walking or changing positions. This is a key distinction between false and true labor.

B. "In true labor, my contractions will be painless." Contractions in true labor are usually painful and become more intense and regular as labor progresses.

C. "When I'm in true labor, my cervix won't dilate." In true labor, the cervix will dilate progressively. In false labor, there is no cervical dilation.

D. "In false labor, I will be able to feel the fetus's presenting part in my pelvis." In true labor, the fetus descends, and the presenting part may be felt. This is not a characteristic of false labor.

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Correct Answer is A

Explanation

A. Weakened uterine contractions: Terbutaline is a tocolytic medication used to relax the uterus and reduce or stop preterm uterine contractions.

B. Maternal glucose 63 mg/dL: Terbutaline can cause hyperglycemia, not hypoglycemia. Therefore, a glucose level of 63 mg/dL would not be an expected finding.

C. Enhanced fetal lung surfactant: Betamethasone, not terbutaline, is used to enhance fetal lung maturity by increasing surfactant production.

D. Fetal heart rate 100/min:Terbutaline can cause tachycardia, so a fetal heart rate of 100/min (bradycardia) would be unexpected.

A. An artifact on the printout is very common B. Accurate information regarding FHR variability is not possible C. It cannot provide data about the uterine resting tone D. It is invasive and increases the risk for uterine infection

Correct Answer is A

Explanation

A. An artifact on the printout is very common. Artifacts are more common with external fetal monitoring, not internal fetal monitoring.

B. Accurate information regarding FHR variability is not possible. Internal fetal monitoring provides more accurate information about fetal heart rate (FHR) variability compared to external monitoring.

C. It cannot provide data about the uterine resting tone. Internal monitoring can measure the uterine resting tone more accurately than external methods.

D. It is invasive and increases the risk for uterine infection. Internal fetal monitoring requires inserting a device into the uterus, making it invasive and increasing the risk of infection.

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A nurse is reviewing true labor vs false labor with a pregnant client. What statement by the client indicates teaching has been effective?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is at 28 weeks of gestation and has received terbutaline. Which of the following findings should the nurse expect?

Correct Answer is A

Explanation

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Correct Answer is A

Explanation

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