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. Elevated client blood pressure during contractions – Incorrect; high BP can reduce uteroplacental circulation, affecting fetal oxygenation.

B. Decrease in client blood volume – Incorrect; a drop in blood volume would compromise oxygen delivery.

C. Increased client cardiac output – Correct; cardiac output increases during labor to enhance blood flow to the placenta, improving fetal oxygenation.

D. Client bradypnea – Incorrect; slow breathing (bradypnea) can lead to hypoxia, reducing fetal oxygen supply.

A. Massaging the client's back B. Administering prescribed analgesic medication C. Turning the client onto her left side D. Encouraging the client to rest between contractions

Correct Answer is A

Explanation

A. Massaging the client's back – Correct; gate control theory states that non-painful stimuli (e.g., massage, heat, cold) can block pain signals from reaching the brain.

B. Administering prescribed analgesic medication – Incorrect; this is pharmacologic pain relief, not part of gate control theory.

C. Turning the client onto her left side – Incorrect; this improves circulation but does not block pain signals.

D. Encouraging the client to rest between contractions – Incorrect; rest is important but does not directly affect pain perception.

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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

A nurse is discussing fetal oxygenation during labor of a client with the RN. As the client progresses through the first stage of labor, which of the following client physiologic adaptations should the nurse identify as promoting fetal oxygenation?

Correct Answer is C

Explanation

A nurse is assisting with the care of a client who is in latent labor. Which of the following nursing actions reflects the application of the gate control theory of pain?

Correct Answer is A

Explanation

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