Complete the following sentence by using the list of options.
The nurse should recognize the client is experiencing
The Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"B"}
The nurse should recognize that the client is experiencing preterm labor due to previous preterm birth.
Rationale
Option 1: Preterm labor
The client’s symptoms are most consistent with preterm labor. Preterm labor is characterized by regular
uterine contractions before 37 weeks of gestation, cervical dilation and effacement, and sometimes vaginal discharge. In this case, the client has lower back pain, uterine contractions every 8 minutes, cervical dilation of 2 cm, and 50% effacement—all indicative of preterm labor.
Option 2: Previous Preterm Birth
The client's history of a preterm spontaneous vaginal birth at 30 weeks gestation increases the risk of preterm labor in the current pregnancy. The previous preterm birth is a known risk factor for future preterm labor.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Limiting feeding time to 30 minutes helps reduce the infant's workload and prevent fatigue, which is important for infants with heart failure.
B. Weighing the infant daily is more appropriate to monitor for fluid retention, which is a key concern in heart failure.
C. Placing the infant in the prone position is contraindicated due to the risk of sudden infant death syndrome (SIDS). The infant should be placed on their back for sleep.
D. Oxygen saturation should be checked more frequently than every 6 hours in an infant with heart failure, especially when monitoring for signs of distress.
Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"B"}
Explanation
The nurse should recognize that the client is experiencing preterm labor due toprevious preterm birth.
Rationale
Option 1: Preterm labor
The client’s symptoms are most consistent with preterm labor. Preterm labor is characterized by regular
uterine contractions before 37 weeks of gestation, cervical dilation and effacement, and sometimes vaginal discharge. In this case, the client has lower back pain, uterine contractions every 8 minutes, cervical dilation of 2 cm, and 50% effacement—all indicative of preterm labor.
Option 2: Previous Preterm Birth
The client's history of a preterm spontaneous vaginal birth at 30 weeks gestation increases the risk of preterm labor in the current pregnancy. The previous preterm birth is a known risk factor for future preterm labor.
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