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.

Answer and Explanation

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.

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Correct Answer is D

Explanation

A. "It is useful for estimating fetal age." While ultrasound can estimate fetal age, the primary purpose before amniocentesis is to guide needle placement.

B. "This will determine if there is more than one fetus." Although ultrasound can detect multiple pregnancies, this is not its main function before amniocentesis.

C. "This is a screening tool for spina bifida." Ultrasound can assist in detecting neural tube defects, but amniocentesis is primarily used for genetic testing.

D. "It assists in identifying the location of the placenta and fetus."Ultrasound helps determine the safest location for needle insertion to avoid injuring the fetus or placenta.

A. Pyelonephritis in pregnancy does not pose any risks to the fetus. B. Untreated pyelonephritis in pregnancy can increase the risk of preterm labor and low birth weight. C. Pyelonephritis is a common condition during pregnancy. D. Pyelonephritis is a mild infection that does not require treatment.

Correct Answer is B

Explanation

A. Pyelonephritis in pregnancy does not pose any risks to the fetus. Pyelonephritis can lead to complications such as preterm labor, low birth weight, and maternal sepsis, making this statement incorrect.

B. Untreated pyelonephritis in pregnancy can increase the risk of preterm labor and low birth weight. Pyelonephritis can cause systemic inflammation, leading to complications such as preterm labor and fetal growth restriction. Prompt treatment is necessary to reduce these risks.

C. Pyelonephritis is a common condition during pregnancy. While urinary tract infections (UTIs) are common in pregnancy, pyelonephritis (kidney infection) is less frequent but more serious.

D. Pyelonephritis is a mild infection that does not require treatment. Pyelonephritis is a serious condition that requires immediate antibiotic therapy to prevent maternal and fetal complications.

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

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Naxlex Comprehensive Predictor Exams

A nurse in a provider's office is caring for a client who is at 36 weeks of gestation and scheduled for an amniocentesis. The client asks why she is having an ultrasound prior to the procedure. Which of the following is an appropriate response by the nurse?

Correct Answer is D

Explanation

Which of the following statements about pyelonephritis in pregnancy is correct?

Correct Answer is B

Explanation

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