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 D

Explanation

a. This is a common cause of variable decelerations, not early decelerations.

b. This is not a cause of early decelerations.

c. This is a common cause of variable decelerations, not early decelerations.

d. This is the cause of early decelerations and is a normal response to the pressure of the fetal head on the cervix during contractions.

A. Select one: B. Suction the mouth to prevent bronchoaspiration. C. Stay with the client and call for assistance. D. Insert an oral airway. E. Administer oxygen by face mask.

Correct Answer is B

Explanation

a. Suctioning the mouth during a seizure can increase the risk of injury and is not recommended.
b. The primary duty of the nurse during a seizure is to ensure the safety of the client by staying with them and calling for assistance.
c. Inserting an oral airway during a seizure is not appropriate and can increase the risk of injury.
d. Administering oxygen may be necessary after the seizure has ended, but the primary duty during the seizure is to ensure safety.

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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:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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

Correct Answer is D

Explanation

A woman with preeclampsia has a seizure. The nurse's primary duty during the seizure is to: Select one:

Correct Answer is B

Explanation

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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: