The client has been having contractions every 5 minutes for 7 hours.

Which factor would the nurse use to determine if this is true labor?

The cervix is effacing and dilating.

The membranes have ruptured.

This is the client’s second baby.

The contractions are more intense.

Answer and Explanation

The Correct Answer is A

Choice A rationale
Effacement and dilation of the cervix are key indicators of true labor. Effacement refers to the thinning of the cervix, and dilation is the opening. True labor leads to progressive changes in the cervix.
Choice B rationale
Rupture of membranes can occur before, during, or after true labor. While it can be associated with labor, it alone does not confirm true labor as cervical changes do.
Choice C rationale
The number of pregnancies (parity) does not determine true labor. True labor is characterized by progressive cervical changes, not by the client's obstetric history.
Choice D rationale
The intensity of contractions alone does not confirm true labor. True labor is marked by regular, progressively stronger contractions leading to cervical effacement and dilation.

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Correct Answer is D

Explanation

Choice A rationale
Group B Streptococcus (GBS) is not typically associated with perineal sepsis; rather, it is a bacterium that colonizes the gastrointestinal and genitourinary tracts.
Choice B rationale
While GBS colonization can pose risks, chorioamnionitis is a different infection involving the membranes and amniotic fluid, often caused by a variety of microorganisms, not solely GBS.
Choice C rationale
GBS is not primarily sexually transmitted; it is a bacterium naturally present in the genital and digestive tracts, and colonization can occur without sexual contact.
Choice D rationale
Neonatal sepsis is a serious risk for babies born to mothers colonized with GBS, necessitating antibiotic prophylaxis to prevent transmission and subsequent infection in the newborn.

A. September 17, 2019. B. November 21, 2019. C. December 17, 2019. D. November 7, 2019.

Correct Answer is B

Explanation

Choice A rationale
Calculating from the LMP of February 14, 2019, the estimated date of birth using Naegele's rule would not fall in September.
Choice B rationale

Using Naegele's rule, adding 7 days to February 14 results in February 21, 2019, then subtracting 3 months, results in November 2019.
Choice C rationale
Naegele's rule calculates EDB by adding 7 days to the LMP and then subtracting 3 months. This does not lead to a November date.
Choice D rationale
While close, November 7 is not accurate. Naegele's rule would adjust from February 14, giving an EDB in mid to late November.

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The client has been having contractions every 5 minutes for 7 hours. Which factor would the nurse use to determine if this is true labor?

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Naxlex Comprehensive Predictor Exams

A physician writes the following order: administer ampicillin 1 g IV every 4 hours until delivery for a newly admitted client with ruptured membranes. The client had positive vaginal and rectal cultures for GBS+ at 36 weeks gestation. Which of the following is a rationale for this order?

Correct Answer is D

Explanation

A woman arrives at the clinic for a pregnancy test. Her last menstrual period (LMP) was February 14, 2019. What is the client’s expected date of birth (EDB)?

Correct Answer is B

Explanation

When administering Pitocin, you should start at a low dose and work your way up slowly to a dose that provides the best contraction rate.

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The nurse is aware that labor and birth will most likely proceed normally when the fetal position is:

Jana purchased an over-the-counter pregnancy test. The results were positive. The hormone responsible for a positive pregnancy test is:

The maternity nurse understands that as the uterus contracts during labor, maternal-fetal exchange of oxygen and waste products:

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The client has been having contractions every 5 minutes for 7 hours.

Which factor would the nurse use to determine if this is true labor?