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

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. "A repeat cesarean section would be safer for both you and your baby.": VBAC is often safe, depending on the uterine incision type. A blanket statement about safety is inaccurate.

B. "The primary consideration is what type of incision you had.": The type of uterine incision (e.g., low transverse) determines VBAC eligibility due to the risk of uterine rupture.

C. "There are so many variables that you'll have to ask your provider.": While consultation with a provider is important, this response lacks educational value.

D. "It's too soon for you to be worrying about that now.": This response dismisses the client’s concerns and is non-therapeutic.

A. Massaging the client's back B. Administering prescribed analgesic medication C. Turning the client onto her left side D. Encouraging the client to rest between contractors

Correct Answer is A

Explanation

A. Massaging the client's back: Activates larger nerve fibers, blocking pain signals to the brain, which aligns with the gate control theory.

B. Administering prescribed analgesic medication: Provides pharmacological pain relief but does not align with gate control theory principles.

C. Turning the client onto her left side: May improve comfort and circulation but does not directly engage the gate control mechanism.

D. Encouraging the client to rest between contractions: Helpful for overall labor management but unrelated to gate control theory.

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Which of the following signs or symptoms may indicate false labor in a patient?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who wants to know it is possible to have a vaginal birth after a cesarean birth (VBAC). Which of the following statements by the nurse is appropriate?

Correct Answer is B

Explanation

A nurse is assisting with the care of a client who is in labor. Which of the following nursing actions reflects application of the gate control theory of pain?

Correct Answer is A

Explanation

The nurse noted that the placenta was shiny and smooth. Which side of the placenta was delivered first?

A nurse is assisting in the care of a client who is in active labor. The nurse notes variable decelerations of the FHR. The nurse should identify which of the following as a cause of variable decelerations?

The nurse observes on the fetal monitor a pattern of a 15-beat increase in the fetal heart rate that lasts 15 to 20 seconds. What does this pattern indicate?

A nurse is assisting in the care of a client who is in labor. The doctor documents the vaginal examination as: 3 cm, 30%, and -1. The nurse evaluates this documentation to mean which of the following?

A nurse is caring for a client who has unrelieved episiotomy pain 8 hours following delivery. Which of the following actions should the nurse take?

Which of the following signs or symptoms may indicate false labor in a patient?

A nurse is assisting with the care of a client who is using pattern-paced breathing during the first stage of labor. The client says she feels lightheaded and her fingers are tingling. Which of the following actions should the nurse take?