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Total Questions : 4

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Question 1:

A nurse is educating a pregnant client about pre-term labor.

Which of the following is a correct statement about pre-term birth?

A. Pre-term birth occurs after 37 weeks of gestation B. Pre-term birth is not associated with any neonatal morbidity or mortality C. Pre-term birth can result in long-term developmental disabilities D. Pre-term birth is always induced by medical complications

Answer and Explanation

Choice A:

Pre-term birth occurs before 37 weeks of gestation, not after.

Choice B:

Pre-term birth is associated with increased neonatal morbidity and mortality.

Choice C:

Pre-term birth can result in long-term developmental disabilities. This is because pre-term babies are born before their organs and systems are fully developed and may face complications such as respiratory distress, bleeding in the brain, infection, and jaundice. It is not always induced by medical complications. Normal ranges for gestational age are 37 to 42 weeks. Normal ranges for hemoglobin are 11 to 16 g/dL for pregnant women.

Choice D:

Pre-term birth can be caused by various factors, such as infection, multiple pregnancy, cervical insufficiency, placental abruption, and maternal conditions.

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Question 2:

A client asks a nurse about the potential consequences of pre-term labor.

Which of the following is an accurate response?

A. Pre-term labor does not pose any risks to the infant B. Pre-term labor can lead to neonatal morbidity and mortality C. Pre-term labor only occurs after 40 weeks of gestation D. Pre-term labor can be caused by various factors, not only obstetric complications. Some of the risk factors for pre-term labor include multiple gestation, infection, cervical insufficiency, placental abruption, preeclampsia, and maternal stress.

Answer and Explanation

Choice A:

Pre-term labor does pose risks to the infant, as explained above.

Choice B:

Pre-term labor can lead to neonatal morbidity and mortality. Pre-term labor is defined as labor that occurs before 37 weeks of gestation. Pre-term infants are at risk for various complications, such as respiratory distress syndrome, intraventricular hemorrhage, necrotizing enterocolitis, sepsis, and death.

Choice C:

Pre-term labor occurs before 40 weeks of gestation, not after. The normal term of pregnancy is 40 weeks.

Choice D:

Pre-term labor is always caused by obstetric complications

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Question 3:

A nurse is discussing pre-term labor with a pregnant client.

Which of the following statements accurately describes pre-term labor?

A. Pre-term labor is never spontaneous and is always induced. Spontaneous preterm labor occurs without a known cause or risk factor, while induced preterm labor is done for medical B. Pre-term labor occurs after 42 weeks of gestation C. Pre-term labor can result in neonatal morbidity but not mortality D. Pre-term labor involves regular uterine contractions with cervical changes

Answer and Explanation

Choice A:

Preterm labor can be spontaneous or induced

Choice B:

None

Choice C:

None

Choice D:

Preterm labor involves irregular uterine contractions without cervical changes. This is because preterm labor is defined as labor that occurs before 37 weeks of gestation with regular contractions and cervical changes. Irregular contractions without cervical changes are more likely to be Braxton Hicks contractions, which are normal and do not indicate labor.

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Question 4:

A nurse is providing education about pre-term labor to a group of pregnant clients.

Which of the following statements about pre-term labor is correct?

A. Pre-term labor is more likely to occur after 40 weeks of gestation B. Pre-term labor does not have any impact on the baby's long-term health C. Pre-term labor always requires medical induction D. Pre-term labor can lead to neonatal morbidity and mortality

Answer and Explanation

Choice A:

Pre-term labor is more likely to occur before 40 weeks of gestation, not after.

Choice B:

Pre-term labor does have an impact on the baby’s long-term health, such as increased risk of infections, bleeding in the brain, and respiratory distress syndrome.

Choice C:

Pre-term labor does not always require medical induction. Sometimes, pre-term labor can be stopped or delayed with medications or bed rest.

Choice D:

Pre-term labor can lead to neonatal morbidity and mortality. Pre-term labor is defined as labor that occurs before 37 weeks of gestation. Pre-term birth is the leading cause of death among children under 5 years of age. Pre-term babies may face a lifetime of disability, including learning disabilities and visual and hearing problems.

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Total Questions : 4

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