During the active phase of labor, which of the following is a common sign that indicates progress?
Decreased maternal heart rate
Increased intensity and frequency of contractions
Decreased cervical dilation
Decreased intensity and frequency of contractions
The Correct Answer is B
A. Decreased maternal heart rate: Maternal heart rate usually stays the same or may increase slightly due to the physical exertion of labor, but it does not decrease as a sign of labor progression.
B. Increased intensity and frequency of contractions: The active phase of labor is characterized by more frequent and intense contractions that lead to continued cervical dilation and effacement.
C. Decreased cervical dilation: Cervical dilation increases during labor, particularly in the active phase. Decreased dilation is a sign of dysfunctional labor, not normal progress.
D. Decreased intensity and frequency of contractions: Decreasing contraction intensity and frequency would indicate a stall in labor or ineffective labor, not normal progress.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "In false labor, my contractions can decrease by walking or changing positions." In false labor, also called Braxton Hicks contractions, the contractions often decrease with activity such as walking or changing positions. This is a key distinction between false and true labor.
B. "In true labor, my contractions will be painless." Contractions in true labor are usually painful and become more intense and regular as labor progresses.
C. "When I'm in true labor, my cervix won't dilate." In true labor, the cervix will dilate progressively. In false labor, there is no cervical dilation.
D. "In false labor, I will be able to feel the fetus's presenting part in my pelvis." In true labor, the fetus descends, and the presenting part may be felt. This is not a characteristic of false labor.
Correct Answer is B
Explanation
A. Take the client's temperature. Monitoring the client's temperature for signs of infection is important, but it is not the priority immediately following an amniotomy. Infection typically develops over time.
B. Check the fetal heart rate pattern. The priority after an amniotomy is to assess the fetal heart rate to detect any signs of umbilical cord prolapse or fetal distress, which can occur immediately after rupture of membranes.
C. Observe the color and consistency of amniotic fluid. Although it is important to observe amniotic fluid for abnormalities (e.g., meconium staining), the immediate priority is fetal heart rate monitoring.
D. Evaluate the client for signs of infection. Signs of infection should be monitored, but they are not the priority right after amniotomy.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.