A client experiencing contractions presents at a health care facility.
Assessment conducted by the nurse reveals that the client has been experiencing Braxton Hicks contractions.
The nurse has to educate the client on the usefulness of Braxton Hicks contractions.
Which role do Braxton Hicks contractions play in aiding labor?.

These contractions increase oxytocin sensitivity.

These contractions increase the release of prostaglandins.

These contractions make maternal breathing easier.

These contractions help in softening and ripening the cervix.

Answer and Explanation

The Correct Answer is D

The correct answer is choice D.

Choice A rationale:

While oxytocin sensitivity is important for labor, there is no evidence to suggest that Braxton Hicks contractions increase oxytocin sensitivity.

Choice B rationale:

Prostaglandins play a crucial role in labor by causing the cervix to soften and dilate and the uterus to contract. However, there is no evidence to suggest that Braxton Hicks contractions increase the release of prostaglandins.

Choice C rationale:

While maternal comfort is important during labor, there is no evidence to suggest that Braxton Hicks contractions make maternal breathing easier.

Choice D rationale:

Braxton Hicks contractions help in softening and ripening the cervix, which is an important part of preparing for labor.

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Correct Answer is B

Explanation

The correct answer is choice B.

Choice A rationale:

Cabbage leaves have been used for many years for relief of breast engorgement. They can be crushed slightly until the juice is visible and then chilled in the refrigerator before applying to the breasts.

Choice B rationale:

Applying hot packs during feeding can actually increase blood flow and make engorgement worse. Cold packs should be used after feeding to help reduce swelling.

Choice C rationale:

Applying ice packs after feeding can help reduce swelling and provide relief from engorgement.

Choice D rationale:

Frequent breastfeeding can help to relieve engorgement. The breasts should be emptied completely at each feeding.

A. To increase the boggy nature of the uterus. B. To constrict the uterine blood vessels. C. To lessen the chances of conducting an episiotomy. D. To remove pieces left attached to the uterine wall.

Correct Answer is B

Explanation

The correct answer is choice B.

Choice A rationale:

Massaging the uterus does not increase its boggy nature, but rather helps it contract and become firm, reducing the risk of postpartum hemorrhage.

Choice B rationale:

Massaging the uterus helps constrict the uterine blood vessels, which reduces bleeding after the placenta has been expelled.

Choice C rationale:

Massaging the uterus has no effect on the likelihood of conducting an episiotomy, which is a surgical incision made during childbirth.

Choice D rationale:

Massaging the uterus does not remove pieces left attached to the uterine wall. This would require a manual or surgical procedure.

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Naxlex Comprehensive Predictor Exams

A nurse is providing teaching about comfort measures for breast engorgement to a client who is postpartum and is breastfeeding.Which of the following statements by the client indicates a need for further teaching?.

Correct Answer is B

Explanation

A client in the third stage of labor has experienced placental separation and expulsion.Why is it necessary for a nurse to massage the woman's uterus briefly until it is firm?.

Correct Answer is B

Explanation

When reviewing the medical record of a postpartum client, the nurse notes that the client has experienced a fourth-degree laceration.The nurse understands that the laceration extends to which area?.

A nurse is discussing postpartum depression with a newly licensed nurse.Which of the following statements by the newly licensed nurse indicates an understanding of this condition?.

A nurse is teaching about crib safety with the parent of a newborn.Which of the following statements by the client indicates understanding of the teaching?.

A nurse is caring for a client who experienced a vaginal birth 12 hr ago.The nurse recognizes the client is in the dependent, taking in phase of maternal postpartum adjustment.Which of the following findings should the nurse expect during this phase?.

A nurse midwife is examining a client who is a primigravida at 42 weeks of gestation and states that she believes she is in labor.Which of the following findings confirm to the nurse that the client is in labor?.

In an effort to decrease complications for the infant right after birth, the nurse would expect to administer which medication for prophylaxis of potential eye conditions?.

A nurse in a clinic is caring for a client who is 3 weeks postpartum following the birth of a healthy newborn.The client reports feeling "down" and sad, having no energy, and wanting to cry.Which of the following is a priority action by the nurse?.