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 D

Explanation

The correct answer is choice D. When the cervix is fully dilated.

Choice A rationale:

The arrival of the health care provider does not determine when the laboring client should push. This is dependent on the dilation of the cervix.

Choice B rationale:

Seeing the fetal head is not the determinant for when the laboring client should push. The cervix needs to be fully dilated.

Choice C rationale:

The nurse wanting the client to push is not the correct time for the laboring client to push. The cervix needs to be fully dilated.

Choice D rationale:

The laboring client is encouraged to push when the cervix is fully dilated. This is to avoid birth trauma.

A. Sitz baths cause perineal vasoconstriction and decreased bleeding. B. The longer a sitz bath is continued, the more therapeutic it becomes. C. Sitz baths increase the blood supply to the perineal area. D. Sitz baths may lead to increased postpartum infection.

Correct Answer is C

Explanation

The correct answer is choice C.

Choice A rationale:

Sitz baths cause perineal vasodilation, not vasoconstriction, and this does not directly affect bleeding.

Choice B rationale:

The duration of a sitz bath does not necessarily correlate with its therapeutic effect.

Choice C rationale:

Sitz baths increase the blood supply to the perineal area, promoting healing and providing relief from discomfort.

Choice D rationale:

Sitz baths do not increase the risk of postpartum infection when done properly.

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Naxlex Comprehensive Predictor Exams

At what time is the laboring client encouraged to push?

Correct Answer is D

Explanation

Which information would the nurse emphasize in the teaching plan for a postpartum woman who is reluctant to begin taking warm sitz baths?

Correct Answer is C

Explanation

A nurse is caring for a client who is at 36 weeks of gestation and who has a suspected placenta previa.Which of the following findings support this diagnosis?.

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 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?.

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