The nurse teaches a primigravida client that lightening occurs about 2 weeks before the onset of labor.
What will the mother likely experience at that time?.
Dysuria.
Urinary frequency.
Constipation.
Dyspnea.
The Correct Answer is B
Choice A rationale:
Dysuria is not typically associated with lightening.
Choice B rationale:
Urinary frequency can increase when lightening occurs because the baby drops into the pelvis, putting more pressure on the bladder.
Choice C rationale:
Constipation is not typically associated with lightening.
Choice D rationale:
Dyspnea can actually improve when lightening occurs because there is less pressure on the diaphragm.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Implementing measures for a vaginal birth is a reasonable intervention as the baby is in a favorable position for a normal delivery.
Choice B rationale:
Continuous internal fetal monitoring is not necessary unless there are complications or high-risk factors present.
Choice C rationale:
Artificial rupture of the membranes can be done to induce or augment labor, but it’s not necessary in this case.
Choice D rationale:
Preparing for a cesarean birth is not necessary as the baby is in a favorable position for a vaginal birth.
Correct Answer is D
Explanation
Answer and explanation
Choice A rationale:
Butorphanol is an opioid agonist-antagonist. It would not be the first choice to treat opioid-induced respiratory depression because it can also cause respiratory depression.
Choice B rationale:
Promethazine is an antihistamine that has sedative effects and could potentially worsen respiratory depression.
Choice C rationale:
Fentanyl is a potent opioid and would likely exacerbate respiratory depression.
Choice D rationale:
Naloxone is an opioid antagonist used to reverse the effects of opioids such as respiratory depression.
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