A pregnant client is seen for a regular prenatal visit and tells the nurse that she is experiencing irregular contractions and painless. The nurse determines that she is experiencing Braxton Hicks contractions. On the basis of this finding, which nursing action is most appropriate?

Select one:

Call the maternity unit and inform them that the client will be admitted in a labor and delivery unit.

Instruct the client to maintain bed rest for the remainder of the pregnancy.

Inform the client that these contractions are normal and may occur throughout the pregnancy.

Contact the health care provider.

Answer and Explanation

The Correct Answer is C

a.   Braxton Hicks contractions are normal and do not require admission to the labor and delivery unit.
b.   Braxton Hicks contractions are normal and do not require bed rest.
c.   This is the most appropriate action as Braxton Hicks contractions are normal and may occur throughout the pregnancy.
d.   Braxton Hicks contractions are normal and do not require contact with the health care provider.

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Correct Answer is A

Explanation

a. Anasarca, which refers to generalized edema or swelling, can be a sign of a serious medical condition such as preeclampsia or heart failure and should prompt immediate medical evaluation.
b. Morning vomiting is a common discomfort in the first trimester of pregnancy and typically does not require immediate medical attention unless it is severe or persistent.
c. Braxton Hicks contractions, which are mild and irregular contractions that can occur throughout pregnancy, are typically not a cause for concern.
d. Frequent urination is a common discomfort in the first trimester of pregnancy and typically does not require immediate medical attention unless it is accompanied by other symptoms.

A. Proteinuria less than 300mg/24h B. Glycohemoglobin 8% C. Lecithin/sphingomyelin (L/S) ratio of 2:1 D. Reactive non stress test

Correct Answer is C

Explanation

a. This is a test for renal function, not fetal lung maturity.
b. This is a test for glucose control, not fetal lung maturity.
c. An L/S ratio of 2:1 or greater indicates that the fetal lungs have reached maturity.
d. This is a test of fetal well-being and does not indicate fetal lung maturity. This ratio indicates that the fetal lungs have enough surfactant to prevent alveolar collapse and respiratory distress syndrome.

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A pregnant client is seen for a regular prenatal visit and tells the nurse that she is experiencing irregular contractions and painless. The nurse determines that she is experiencing Braxton Hicks contractions. On the basis of this finding, which nursing action is most appropriate? Select one:

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Correct Answer is A

Explanation

A nurse is caring for a client who is scheduled for a cesarean birth based on the fetal lungs having reached maturity. Which of the following findings indicates that the fetal lungs are mature?

Correct Answer is C

Explanation

A nurse is caring for a client who is a primigravida, at term, and having contractions but is stating that she is "not really sure if she is in labor or not." Which of the following should the nurse recognize as a sign of true labor?

The priority nursing intervention when admitting a pregnant woman who has experienced a bleeding episode in late pregnancy ( 37 weeks) is to: Select one:

A nurse is caring for a client who is scheduled for a maternal serum alpha-fetoprotein test at 15 weeks of gestation. The nurse provides which of the following explanations about this test to the client?

A pregnant client is seen for a regular prenatal visit and tells the nurse that she is experiencing irregular contractions and painless. The nurse determines that she is experiencing Braxton Hicks contractions. On the basis of this finding, which nursing action is most appropriate? Select one:

A nurse is caring for a client who is in labor and has an external fetal monitor. The nurse observes late decelerations on the monitor strip and interprets them as indicating which of the following?

The nurse caring for the laboring woman should understand that early decelerations are caused by:

A pregnant client is seen for a regular prenatal visit and tells the nurse that she is experiencing irregular contractions and painless. The nurse determines that she is experiencing Braxton Hicks contractions. On the basis of this finding, which nursing action is most appropriate?

Select one: