The nurse is caring for a client who is in the first stage of labor and is encouraging the client to void every 2 hours. Which of the following statements by the nurse indicates the rational for this request?
"A distended bladder reduces the pelvic space needed for birth.”
"A full bladder decreases the risk for bladder infections."
"A full bladder will be traumatized by frequent vaginal examinations"
"A full bladder increases the risk for trauma to the fetus.”
The Correct Answer is A
A. "A distended bladder reduces the pelvic space needed for birth.”
A full bladder can impede fetal descent and interfere with uterine contractions.
B. "A full bladder decreases the risk for bladder infections.":
Frequent emptying helps prevent infection, but that’s not the primary reason during labor.
C. "A full bladder will be traumatized by frequent vaginal examinations":
Trauma can happen, but space for fetal descent is more critical.
D. "A full bladder increases the risk for trauma to the fetus.”
No direct trauma to fetus from bladder distension; this is inaccurate.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Based on the fetal heart rate (FHR) strip provided: The decelerations begin after the peak of the uterine contraction and return to baseline after the contraction ends. This pattern is consistent and repetitive. Late decelerations begin after the contraction starts and return to baseline after the contraction ends.
Correct Answer is A
Explanation
A. Beginning of one contraction to the beginning of the next one:
This is the standard method for measuring contraction frequency.
B. End of one contraction to the beginning of the next one:
This measures the rest period, not frequency.
C. Peak of one contraction to the peak of the next one:
Inconsistent and not standard practice.
D. Beginning of one contraction to the end of the next one:
Not accurate for assessing how often contractions are occurring.
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