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 D
Explanation
Choice A rationale
Reducing carbohydrate intake is part of dietary management in gestational diabetes.
Choice B rationale
Women with gestational diabetes have an increased risk of developing type 2 diabetes later in life.
Choice C rationale
Increasing exercise is beneficial for managing blood sugar levels in gestational diabetes.
Choice D rationale
Glyburide is not typically the first-line treatment for gestational diabetes; insulin is often recommended for better control.
Correct Answer is A
Explanation
Choice A rationale
Squatting and pelvic lunges are natural positions and exercises that can help with labor progression, but they are not medically recognized methods for inducing labor. These activities may help move the baby into a better position but do not stimulate contractions effectively for labor induction.
Choice B rationale
Amniotomy involves the intentional rupture of the amniotic sac to release amniotic fluid. This procedure can stimulate uterine contractions and is a common method used to induce labor when conditions are appropriate.
Choice C rationale
Oxytocin is a hormone that stimulates uterine contractions. It is commonly administered intravenously to induce or augment labor, making it an effective and widely used method for labor induction.
Choice D rationale
Dinoprostone is a prostaglandin used to ripen the cervix and induce labor. It is applied either as a vaginal insert or gel and helps soften and dilate the cervix, preparing it for labor.
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