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 A
Explanation
A. "You must be feeling scared and powerless." This response acknowledges the client’s emotions, promoting therapeutic communication. It allows the client to express her concerns and helps build trust with the nurse.
B. "Everyone worries about her baby when she's in labor." This response minimizes the client’s concerns and does not directly address her specific feelings or situation.
C. "We have a neonatal unit here that's equipped to handle emergencies." While this is factually correct, it does not acknowledge the client's emotional distress, which is important in therapeutic communication.
D. "Your pregnancy is advanced so your baby should be fine." While 32 weeks is a viable gestational age, it is not guaranteed that the baby will be fine. This response provides false reassurance.
Correct Answer is D
Explanation
A. Increase the rate of maintenance IV infusion. Increasing IV fluids may help improve placental perfusion, but it is not the first action. Repositioning the client takes priority to improve blood flow before considering IV adjustments.
B. Administer oxygen using a nonrebreather mask. Oxygen is beneficial in improving fetal oxygenation, but positioning the client laterally should be done first to optimize blood flow before oxygen administration.
C. Elevate the client’s legs. Elevating the legs may be helpful in cases of hypotension, but this scenario describes late decelerations, which are related to uteroplacental insufficiency.
D. Place the client in the lateral position. Late decelerations are caused by uteroplacental insufficiency, leading to fetal hypoxia. The first action is to reposition the client to the lateral position, which improves blood flow to the placenta and enhances fetal oxygenation.
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