How is the frequency of uterine contractions measured?

By calculating the time between the beginning of one contraction to the beginning of the next

By measuring the duration of the contractions

By assessing the intensity of the contractions

By palpating the resting tone of the uterus

Answer and Explanation

The Correct Answer is A

A. By calculating the time between the beginning of one contraction to the beginning of the next – Correct; frequency is measured from the start of one contraction to the start of the next.

B. By measuring the duration of the contractions – Incorrect; duration refers to how long a contraction lasts, not frequency.

C. By assessing the intensity of the contractions – Incorrect; intensity refers to the strength of the contraction.

D. By palpating the resting tone of the uterus – Incorrect; resting tone assesses uterine relaxation between contractions.

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Correct Answer is A

Explanation

A. Lightening – Correct; "lightening" occurs when the fetal head descends into the pelvis, reducing pressure on the diaphragm, making it easier to breathe.

B. Decreasing chest diameter – Incorrect; the chest diameter does not decrease; instead, the diaphragm moves upward due to uterine growth.

C. Decreased carbon dioxide production – Incorrect; CO₂ production remains stable during pregnancy.

D. Hyperventilation – Incorrect; while pregnancy increases respiratory effort, the client is experiencing relief, not hyperventilation.

A. Feel for a full bladder. B. Request the provider perform a vaginal examination. C. Check the client's fundus. D. Measure the client's vital signs.

Correct Answer is C

Explanation

A. Feel for a full bladder. – Incorrect; a full bladder can contribute to postpartum bleeding, but checking fundal firmness should be prioritized first.

B. Request the provider perform a vaginal examination. – Incorrect; the nurse should assess the fundus and attempt interventions first before calling the provider.

C. Check the client’s fundus. – Correct; the priority action is to assess the fundus for firmness, as a boggy uterus is the most common cause of postpartum hemorrhage.

D. Measure the client’s vital signs. – Incorrect; while vital signs are important, assessing fundal tone and initiating interventions come first.

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How is the frequency of uterine contractions measured?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client who is at 39 weeks of gestation tells the nurse, "It has been hard to take a deep breath throughout the pregnancy, but in the past week, I feel like I can breathe again." The nurse should recognize that the client is experiencing the effects of which of the following?

Correct Answer is A

Explanation

A nurse is collecting data from a postpartum client and finds a large amount of lochia rubra with several clots on the client's perineal pad. Which of the following actions should the nurse take first?

Correct Answer is C

Explanation

A nurse in a prenatal clinic is caring for a client who is at 12 weeks of gestation. The client asks about the cause of her heartburn. Which of the following responses should the nurse make?

Which of the following are NOT considered presumptive signs of pregnancy? (Select all that apply.)

A practical nurse is gathering data on a laboring client's perception of pain. Which of the following should be included? (Select All that Apply.)

A woman asks the nurse during a prenatal office visit, "What pain relief method is best during labor?" What answer by the nurse best answers the question?

A nurse is assisting in the care of a client who is 4 hr postpartum. Which of the following interventions should the nurse perform after finding that the client's uterus is not firm? (Select all that apply.)

A pregnant client's first day of her last menstrual period was April 10th. Using Naegele's rule, what is the estimated date of delivery?

A nurse assisting in the care of a client, places the tocodynamometer (TOCO) transducer on a client's fundus and secures it in place. The client asks the nurse to explain the purpose of the monitoring device. Which of the following responses should the nurse make?

During a prenatal class, a client reports she has an identical twin. What is the classification of twins who share the same chromosomal material?