Which of the following is a sign that childbirth labor is likely to begin?

A. Maternal bradycardia: Late decelerations are caused by uteroplacental insufficiency, not maternal heart rate changes.

B. Fetal head compression: Fetal head compression causes early decelerations, which are benign and mirror contractions. Late decelerations occur after contractions and indicate a more serious issue.

C. Uteroplacental insufficiency: Late decelerations occur due to decreased oxygenation from poor placental perfusion (uteroplacental insufficiency). Common causes include maternal hypotension, post-term pregnancy, uterine tachysystole, and placental abruption.

D. Umbilical cord compression: Umbilical cord compression causes variable decelerations, not late decelerations.

A. A client who is at 28 weeks of gestation and receiving terbutaline reports fine tremors: Fine tremors are a common expected side effect of terbutaline, which is a beta-adrenergic agonist used to stop preterm labor. It is not an emergency but should be monitored.

B. A client who has a diagnosis of preeclampsia has 2+ proteinuria and 2+ patellar reflexes: Proteinuria and 2+ reflexes are consistent with mild preeclampsia and do not necessarily indicate worsening or severe disease. However, monitoring is required to detect progression.

C. A client who has a diagnosis of preeclampsia reports epigastric pain and unresolved headache: Epigastric pain and a persistent headache suggest impending eclampsia or hepatic involvement (HELLP syndrome) and require immediate medical intervention to prevent seizures, stroke, or organ failure.

D. A tearful client who is at 32 weeks of gestation and is experiencing irregular, frequent contractions: Irregular contractions at 32 weeks may indicate Braxton Hicks contractions or preterm labor, but they do not necessarily require immediate provider notification unless they become regular and progressive.