Nurse Darla is teaching Ms. Goodwin about signs of true labor. Which of the following statements by Ms. Goodwin indicates an understanding of the teaching?
"I will experience pressure in my pelvis"
"My contractions will decrease with walking"
"My urge to frequently urinate will decrease"
"I should feel pain in my upper abdomen"
The Correct Answer is A
Choice A reason: Pelvic pressure is a common symptom of true labor as the fetus descends into the birth canal. This pressure is often accompanied by regular, intensifying contractions and cervical changes.
Choice B reason: Contractions that decrease with walking are characteristic of false labor. True labor contractions typically intensify with activity and do not subside with rest or movement.
Choice C reason: Urinary frequency may increase during labor due to fetal descent and bladder compression. A decrease in the urge to urinate is not a reliable indicator of labor progression.
Choice D reason: Pain in the upper abdomen is not typical of true labor. Labor pain usually begins in the lower back and radiates to the lower abdomen. Upper abdominal pain may suggest other complications and should be evaluated separately.
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Related Questions
Correct Answer is B
Explanation
Choice A reason: Four contractions in a 10-minute period is within the normal range for labor progression. Uterine activity is considered normal when there are fewer than five contractions in 10 minutes averaged over 30 minutes. This frequency does not indicate tachysystole or fetal compromise and does not require immediate reporting.
Choice B reason: A fetal heart rate of 100 beats per minute sustained for 10 minutes qualifies as fetal bradycardia. The normal fetal heart rate baseline is between 110 and 160 bpm. Bradycardia may indicate fetal hypoxia, cord compression, or other complications and requires prompt evaluation and intervention by the provider.
Choice C reason: A contraction lasting 70 seconds is within the acceptable duration range during active labor. Typical contractions last between 45 and 90 seconds. While this is on the longer side, it is not abnormal or dangerous unless accompanied by other signs of distress.
Choice D reason: A contraction lasting 50 seconds is considered normal. It falls well within the expected range for contraction duration during labor and does not warrant reporting unless associated with abnormal fetal heart rate or uterine hyperstimulation.
Correct Answer is D
Explanation
Choice A reason: A fetal heart rate of 100 beats per minute is considered bradycardia and is not a typical response to terbutaline. Terbutaline may cause mild fetal tachycardia, but not bradycardia.
Choice B reason: Terbutaline is a beta-adrenergic agonist used as a tocolytic to suppress preterm labor. It does not enhance fetal lung surfactant production. Corticosteroids like betamethasone are used for that purpose.
Choice C reason: Terbutaline can cause maternal hyperglycemia due to its beta-adrenergic effects. A glucose level of 63 mg/dL is below normal and not expected. Nurses should monitor for elevated glucose levels, not hypoglycemia.
Choice D reason: Weakened uterine contractions are the expected therapeutic effect of terbutaline. It relaxes smooth muscle, including the uterus, to delay preterm labor and reduce contraction frequency and intensity
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