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"
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Heart rate of 55/min. A heart rate of 55/min is bradycardia, which may indicate magnesium toxicity. This is a concerning sign and does not indicate safety to continue.
B. Urine output of 50 mL in 4 hr. A urine output of only 50 mL in 4 hours is too low (less than 30 mL/hr is concerning) and may indicate toxicity, since magnesium sulfate is excreted via the kidneys.
C. Diminished deep-tendon reflexes. Diminished deep-tendon reflexes (DTRs) may indicate magnesium toxicity. DTRs are monitored to assess for toxicity.
D. Respiratory rate of 16/min. A normal respiratory rate (12-20 breaths per minute) indicates that the magnesium sulfate has not caused respiratory depression, a sign of magnesium toxicity.
Correct Answer is A
Explanation
A. Epidural Anesthesia. Epidural anesthesia involves injecting a local anesthetic into the epidural space, blocking pain signals from the lower body to the brain. It is commonly administered when the cervix is at least 4 cm dilated in active labor.
B. Local anesthesia. Local anesthesia numbs a specific, smaller area of the body and is typically used for procedures such as episiotomies or repairs, not for labor pain relief.
C. Pudendal block. A pudendal block is an injection that numbs the perineal area but does not block pain from contractions. It is used for pain relief during the second stage of labor or for episiotomies.
D. General anesthesia. General anesthesia affects the entire body and is rarely used in labor unless there is an emergency cesarean section when regional anesthesia is not possible.
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