A practical nurse is reinforcing education with a newly licensed nurse regarding visceral pain during labor.
Which of the following causes of pain by the newly licensed nurse would require follow-up?

Cervical dilation.

Stretching of the pelvic muscles.

Nerve stimulation.

Uterine contractions.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Cervical dilation is a source of visceral pain during labor due to the stretching and opening of the cervix, and it is not incorrect information.

Choice B rationale

Stretching of the pelvic muscles is incorrect because visceral pain during labor is typically associated with internal organs and not the stretching of pelvic muscles, which is more somatic pain.

Choice C rationale

Nerve stimulation is a cause of visceral pain as labor pain is transmitted through the nerves to the spinal cord and brain.

Choice D rationale

Uterine contractions are a major source of visceral pain during labor as they involve the powerful and rhythmic tightening and relaxing of the uterine muscles.

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Correct Answer is A

Explanation

Choice A rationale

Painless, bright red vaginal bleeding at 36 weeks gestation is a classic sign of placenta previa, where the placenta is abnormally implanted in the lower uterine segment, covering the cervix, and causing bleeding without pain.

Choice B rationale

Threatened abortion is characterized by vaginal bleeding before 20 weeks of gestation with or without abdominal pain. At 36 weeks, the term would be inappropriate, and the symptoms do not match.

Choice C rationale

Abruptio placentae involves painful vaginal bleeding due to premature placental separation. The presence of pain differentiates it from placenta previa.

Choice D rationale

Preterm labor may present with contractions, cervical changes, and possible bleeding, but the key feature distinguishing it from placenta previa is the presence of uterine contractions and pain, which are absent in this scenario.

A. Respect the client's right to decline genetic testing. B. Call the client and attempt to schedule another appointment. C. Offer the client an appointment with a different genetic counselor. D. Plan to perform genetic testing at the client's next prenatal visit.

Correct Answer is A

Explanation

Choice A rationale

Respecting the client's decision to decline genetic testing upholds their autonomy and right to make informed decisions about their own healthcare.

Choice B rationale

Persistently attempting to schedule another appointment could be seen as pressuring the client, which may not be respectful of their initial decision.

Choice C rationale

Offering an appointment with a different genetic counselor may imply that the client's decision was not respected or understood, which can be perceived as dismissive.

Choice D rationale

Planning to perform genetic testing without the client's consent disregards their autonomy and the importance of informed consent in healthcare decisions.

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A practical nurse is reinforcing education with a newly licensed nurse regarding visceral pain during labor. Which of the following causes of pain by the newly licensed nurse would require follow-up?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is admitting a client who is at 36 weeks gestation and has painless, bright red vaginal bleeding. The nurse recognizes this finding as an indication of which of the following conditions?

Correct Answer is A

Explanation

A nurse is following up with a client at 12 weeks gestation who was seen for genetic counseling but decided not to proceed with genetic testing or any further genetic counseling. Which of the following actions should the nurse take?

Correct Answer is A

Explanation

A nurse is assisting in the care of a client following an amniotomy who is now in the active phase of the first stage of labor. Which of the following actions should the nurse take?

A nurse is collecting data from the perineal pad of a client who is 3 days postpartum. The nurse last checked the perineal pad 1 hour ago. There is 2 cm of red lochia on the pad. Which of the following correctly documents the nurse's finding?

A nurse is assisting in the care of a client who is to undergo an amniotomy. Which of the following is the priority nursing action following this procedure?

A nurse is assisting in the care of a client who has preeclampsia with severe features and is reporting blurred vision and the inability to think clearly. Which of the following factors should the nurse recognize as the primary cause of the client's clinical manifestations?

A nurse is caring for a client who is postpartum. Which of the following findings is an indication for the nurse to administer Rho(D) immune globulin?

A nurse is reinforcing teaching about hyperthyroidism with a client at 10 weeks of gestation who has the condition. Which of the following statements should the nurse reinforce in the teaching?

A nurse is reinforcing teaching about newborn care with a client who is 2 hours postpartum. Which of the following statements by the client indicates a need for further teaching?

A nurse is assisting with the care of a client who is in labor. The client's labor is difficult and prolonged and she reports a severe backache. Which of the following factors is a contributing cause of difficult, prolonged labor?

A practical nurse is reinforcing education with a newly licensed nurse regarding visceral pain during labor.
Which of the following causes of pain by the newly licensed nurse would require follow-up?