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 C
Explanation
A. Preparing the client for an MRI is not the first step; assessment of neurological status is the priority.
B. Inserting an indwelling urinary catheter is unnecessary unless indicated after further assessment.
C. Determining the Glasgow Coma Scale score is the most important initial step to assess the client's neurological status and guide further interventions.
D. Administering mannitol is appropriate for increased intracranial pressure but should only be done after assessing the client's neurological condition.
Correct Answer is C
Explanation
A. Amitriptyline is more likely to cause a decrease in blood pressure, especially when standing (orthostatic hypotension), rather than an increase.
B. St. John’s wort should not be taken with amitriptyline as it can interact and increase the risk of serotonin syndrome.
C. It typically takes 2-4 weeks for amitriptyline to show therapeutic effects.
D. Amitriptyline is usually taken with food to minimize gastrointestinal discomfort.
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