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A nurse is reinforcing teaching about preterm labor with a client who is at 28 weeks of gestation.Which of the following statements by the client indicates an understanding of the teaching?

A.

“I should expect to feel pain in my upper right abdomen if I’m having preterm labor.”.

B.

“If I have contractions more often than every 10 minutes, I might be in preterm labor.”.

C.

“I can take a daily iron supplement to prevent preterm labor.”.

D.

“I might be experiencing preterm labor if walking stops my contractions.”.

Answer and Explanation

The Correct Answer is B

Choice A rationale

 

Pain in the upper right abdomen is not a typical sign of preterm labor. Preterm labor symptoms include regular contractions, lower back pain, and pelvic pressure.

 

Choice B rationale

 

Contractions occurring more frequently than every 10 minutes can indicate preterm labor. Regular contractions are a key sign of preterm labor.

 

Choice C rationale

 

While iron supplements are important during pregnancy, they do not prevent preterm labor. Preterm labor is influenced by various factors, including infections and uterine abnormalities.

 

Choice D rationale

 

Walking typically does not stop contractions associated with preterm labor. In fact, activity can sometimes exacerbate contractions.


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Correct Answer is C

Explanation

Choice A rationale

Assessing the client’s socioeconomic status is important for understanding their overall health and access to resources, but it is not directly related to providing information about contraception.

Choice B rationale

Selecting the best method of contraception for the client is not the nurse’s role. The decision should be made by the client based on their individual preferences and health considerations.

Choice C rationale

Performing unbiased teaching is essential for providing accurate and comprehensive information about available methods of contraception. The nurse should present all options without imposing personal beliefs or preferences.

Choice D rationale

Providing information on all available methods is important, but it should be done in an unbiased manner. The nurse should ensure that the client has all the necessary information to make an informed decision.

Correct Answer is B

Explanation

Choice A rationale

There is no need to fast before a nonstress test. The test measures the fetal heart rate in response to fetal movements and does not require any dietary restrictions.

Choice B rationale

During a nonstress test, the client will press a button whenever they feel the baby move. This helps correlate fetal movements with heart rate changes.

Choice C rationale

The client is not required to lie flat on their back for the duration of the test. They can be in a semi-reclined position to ensure comfort and avoid supine hypotensive syndrome.

Choice D rationale

Medication to stimulate contractions is not used during a nonstress test. This is done during a contraction stress test, which is a different procedure.

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