A woman calls the labor and delivery unit stating she is in labor. What questions would you ask her to determine if she is in true labor? (Select all that apply.)

Have you noticed any bloody show or mucus plug discharge?

Do you have a fever or chills?

Are your contractions continuing despite changes in activity or position?

Is the baby moving less than usual?

Are your contractions becoming more frequent and intense?

Answer and Explanation

Correct Answer : A,C,E

A. Have you noticed any bloody show or mucus plug discharge? – Correct; bloody show is a sign of cervical dilation, indicating true labor.

B. Do you have a fever or chills? – Incorrect; fever and chills suggest infection, not labor progression.

C. Are your contractions continuing despite changes in activity or position? – Correct; contractions in true labor persist even with activity changes.

D. Is the baby moving less than usual? – Incorrect; fetal movement changes require assessment, but they do not confirm true labor.

E. Are your contractions becoming more frequent and intense? – Correct; contractions in true labor become stronger, longer, and closer together.

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Correct Answer is B

Explanation

A. 6 cm dilated and 80% effaced – Incorrect; this is more consistent with active labor, but the symptoms suggest transition phase.
B. 8 cm dilated and 100% effaced – Correct; the transition phase (8-10 cm dilation) is characterized by intense contractions, nausea, and the sensation of rectal pressure.
C. 5 cm dilated and 70% effaced – Incorrect; this is too early for the transition phase symptoms.
D. Unmeasurable – Incorrect; cervical dilation and effacement can always be measured during labor unless obstructed by fetal descent.

A. Misoprostol B. Oxytocin C. A barbiturate D. Fentanyl

Correct Answer is C

Explanation

A. Misoprostol – Incorrect; this is a cervical ripening agent used for labor induction, not for therapeutic rest.

B. Oxytocin – Incorrect; oxytocin is used to stimulate labor contractions, not to promote rest.

C. A barbiturate – Correct; barbiturates (e.g., secobarbital) or other sedatives are used for therapeutic rest in clients experiencing prodromal labor with no cervical progression.

D. Fentanyl – Incorrect; fentanyl is a short-term opioid analgesic but does not promote restful sleep.

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A woman calls the labor and delivery unit stating she is in labor. What questions would you ask her to determine if she is in true labor? (Select all that apply.)

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

Correct Answer is C

Explanation

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