Which of the following is a sign that childbirth labor is likely to begin?
Feeling irregular contractions that become more frequent, longer, and stronger over time.
Feeling less energetic and experiencing a decrease in Braxton Hicks contractions.
Experiencing frequent urination and increased back pain.
Experiencing a decrease in vaginal discharge and a loss of the mucus plug.
The Correct Answer is A
A. Feeling irregular contractions that become more frequent, longer, and stronger over time. This describes true labor contractions, which increase in intensity and frequency, leading to cervical changes.
B. Feeling less energetic and experiencing a decrease in Braxton Hicks contractions. Many clients experience a burst of energy (nesting) before labor, not decreased energy. A reduction in Braxton Hicks contractions is not a sign of impending labor.
C. Experiencing frequent urination and increased back pain. While these symptoms can occur due to fetal descent, they are not definitive signs that labor is starting.
D. Experiencing a decrease in vaginal discharge and a loss of the mucus plug. A loss of the mucus plug can occur days before labor, but it does not indicate labor is beginning immediately. Vaginal discharge often increases, not decreases, before labor.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. 3+ protein in the urine: Severe proteinuria (≥2+ on dipstick) is a diagnostic criterion for preeclampsia. The presence of 3+ proteinuria is consistent with preeclampsia.
B. 1+ pitting sacral edema: Edema is common in preeclampsia, especially in dependent areas like the hands, face, and sacral region. This is not inconsistent with preeclampsia.
C. Blood pressure 148/98 mm Hg: Preeclampsia is defined as blood pressure ≥140/90 mm Hg after 20 weeks of gestation, with proteinuria or other signs of organ dysfunction. A BP of 148/98 mm Hg is consistent with preeclampsia.
D. Deep tendon reflexes of +1: Hyperreflexia (+3 or +4 reflexes) is a common finding in preeclampsia due to neuromuscular irritability. A +1 reflex response indicates diminished reflexes, which is not characteristic of preeclampsia.
Correct Answer is D
Explanation
A. This test assesses fetal lung maturity. Fetal lung maturity is assessed using the lecithin-sphingomyelin (L/S) ratio or phosphatidylglycerol (PG) test, typically performed after 32 weeks of gestation.
B. This test identifies an Rh incompatibility between the mother and fetus. Rh incompatibility is detected through an indirect Coombs test, not an MSAFP test.
C. It assesses various markers of fetal well-being. The biophysical profile (BPP) and nonstress test (NST) assess fetal well-being, not MSAFP.
D. It is a screening test for spinal defects in the fetus. MSAFP is a screening test for neural tube defects (e.g., spina bifida, anencephaly) and chromosomal abnormalities. High levels may indicate neural tube defects, while low levels may suggest Down syndrome or other chromosomal abnormalities.
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