Which of the following signs or symptoms may indicate false labor in a patient?
Contractions that stop or decrease with activity
Progressive dilation and effacement of the cervix
Regular and increasing contractions
Lower back pain and pressure
The Correct Answer is A
A. Contractions that stop or decrease with activity: False labor contractions (Braxton Hicks) often subside with rest or a change in activity.
B. Progressive dilation and effacement of the cervix: This is a hallmark of true labor, not false labor.
C. Regular and increasing contractions: True labor contractions occur regularly, intensify, and increase in frequency and duration.
D. Lower back pain and pressure: Often associated with true labor, although some false labor contractions may also cause discomfort.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","E","F"]
Explanation
A. Gestational age: The client is 31 weeks of gestation, which is preterm. This is critical information to determine the risk for preterm labor and guide interventions such as corticosteroid administration for fetal lung maturity or tocolytic therapy.
B. Vaginal examination: While a vaginal examination can provide information on cervical dilation and effacement, it is not appropriate to perform without consulting the provider first, especially in a preterm client with contractions.
C. Uterine contractions: The frequency (every 10 minutes) and duration (lasting 30 seconds) of contractions are critical findings that suggest the possibility of preterm labor. This information helps the provider decide on appropriate diagnostic or therapeutic measures, such as starting a tocolytic or performing fetal monitoring.
D. Maternal blood pressure: The maternal blood pressure is within normal limits (118/78 mmHg) and does not indicate a pressing concern in this scenario.
E. Maternal report of pain: The client reports cramping and low back pain, which could indicate preterm labor or another issue affecting uterine activity. This subjective information helps the provider assess the need for further evaluation or pain relief measures.
F. Fetal heart rate: The FHR is 140 beats per minute, which is within the normal range (110-160 bpm). A normal FHR suggests that the fetus is not in distress, but continuous monitoring and assessment are necessary to ensure the fetus remains well-oxygenated, especially in the context of uterine contractions.
Correct Answer is C
Explanation
A. Administer oxygen using a non-rebreather mask: Oxygen may be helpful later, but positioning improves uteroplacental perfusion first.
B. Elevate the client’s legs: This addresses maternal hypotension but is less effective for repositioning uterine pressure.
C. Place the client in the lateral position: Lateral positioning improves uteroplacental blood flow and is the priority intervention for late decelerations.
D. Increase the rate of the maintenance IV infusion: Increasing fluids may help, but positioning should be done first.
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