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 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.

A. At a non-palpable depth B. At the umbilicus C. 2 cm below the umbilicus D. Just above the symphysis pubis

Correct Answer is B

Explanation

A. At a non-palpable depth – Incorrect; the fundus is still palpable in the immediate postpartum period.
B. At the umbilicus – Correct; at 8 hours postpartum, the fundus is typically at the level of the umbilicus.
C. 2 cm below the umbilicus – Incorrect; the fundus begins to descend around 24 hours postpartum.
D. Just above the symphysis pubis – Incorrect; this occurs around day 10 postpartum.

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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.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

A nurse is collecting data from a client who is 8 hr postpartum. Where should the nurse expect to find the fundus?

Correct Answer is B

Explanation

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