While discussing labor and delivery during a prenatal visit, a primigravida asks the nurse when she should go to the hospital.
The nurse's teaching was effective when the patient states that she will come when she:
Feels increased fetal movement.
Thinks her membranes have ruptured.
Has contractions that are 10 minutes apart.
Has mild abdominal or groin discomfort.
The Correct Answer is B
Choice A rationale
Increased fetal movement is normal and usually not a sign to head to the hospital unless there are other concerns.
Choice B rationale
Ruptured membranes can signify the beginning of labor or risk for infection, warranting a visit to the hospital for assessment.
Choice C rationale
Contractions that are 10 minutes apart typically indicate early labor, but not necessarily the need to go to the hospital immediately.
Choice D rationale
Mild abdominal or groin discomfort can occur during pregnancy and does not immediately warrant a hospital visit without other signs of labor.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Maternal fever due to chorioamnionitis would show maternal signs of infection and not directly indicate fetal heart rate changes typical of umbilical cord prolapse.
Choice B rationale
Compression due to lack of amniotic fluid (oligohydramnios) typically shows variable decelerations on the fetal monitoring strip but is not urgent without other symptoms.
Choice C rationale
Umbilical cord prolapse is an urgent condition where the umbilical cord slips ahead of the fetus and can be indicated by sudden severe variable decelerations on the fetal monitor strip, requiring immediate intervention.
Choice D rationale
Progression of the fetal head through the vaginal canal shows a gradual change in the fetal heart rate and not the sudden pattern seen with cord prolapse.
Correct Answer is A
Explanation
Choice A rationale
Proteinuria and vomiting at 35 weeks gestation are significant symptoms that could indicate preeclampsia, a serious condition that requires immediate assessment and management to prevent complications for both the mother and the baby.
Choice B rationale
Urinary urgency, frequency, and burning at 39 weeks gestation suggest a possible urinary tract infection (UTI), which is concerning but generally not as immediately critical as symptoms suggesting preeclampsia.
Choice C rationale
A fasting blood sugar of 95 mg/dL and a 3-hour glucose of 120 at 30 weeks gestation indicate good control of blood sugar levels, which is not as high-risk as preeclampsia symptoms.
Choice D rationale
A hemoglobin of 12 mg/dL and a potassium level of 3.5 mEq/L at 34 weeks gestation are within normal ranges and do not indicate an immediate high-risk condition compared to the potential for preeclampsia.
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