A client in preterm labor tells the nurse, “It’s okay that I am in labor.I’m not worried.
My sister’s baby was born this early, and he is doing great.” How should the nurse interpret this statement by the client? The client is:.

Trying to reassure herself concerning the present situation.

Coping as expected in this situation.

Anxious to see the new baby.

Able to use previously learned knowledge in a new situation.

Answer and Explanation

The Correct Answer is A

The correct answer is choice A. The client is trying to reassure herself concerning the present situation. This is a common coping strategy for women who face the risk of preterm labor and delivery. The client may be experiencing fear, anxiety, or denial about the possible outcomes of her pregnancy.

Choice B is wrong because coping as expected in this situation implies that there is a normal or standard way of coping with preterm labor, which is not true. Different women may cope differently depending on their personal, social, and emotional factors.

Choice C is wrong because anxious to see the new baby does not reflect the client’s statement.

The client is not expressing excitement or eagerness about the birth, but rather a rationalization that everything will be okay despite the risks.

Choice D is wrong because able to use previously learned knowledge in a new situation does not apply to the client’s statement.

The client is not using her sister’s experience as a source of information or guidance, but rather as a way of minimizing or dismissing her own situation.

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Correct Answer is C

Explanation

The correct answer is choice C. “What drugs have you used during your pregnancy?”.

This question is open-ended and nonjudgmental, which encourages the patient to disclose more information about her drug use.

The nurse can then assess the type, frequency, and amount of drugs used and plan appropriate interventions.

Choice A is wrong because it is a closed-ended question that can be answered with a yes or no, and it implies criticism of the patient’s behavior, which may make her defensive and less willing to cooperate.

Choice B is wrong because it is also a closed-ended question that can be answered with a yes or no, and it may frighten or anger the patient, who may not be aware of the legal implications of her drug use.

Choice D is wrong because it is too vague and may not cover all the possible drugs that the patient may have used, such as prescription medications, alcohol, or tobacco.

It also labels the patient as a drug user, which may offend her or make her feel ashamed.

A. Count the time from the end of one contraction to the beginning of the next contraction. B. Count the time from the middle of one contraction to the end of the same contraction. C. Count the time from the beginning of one contraction to the end of the same contraction. D. Count the time from the beginning of one contraction to the beginning of the next contraction.

Correct Answer is C

Explanation

The correct answer is choice C. Count the time from the beginning of one contraction to the end of the same contraction.

This is because the duration of a contraction is the length of time that the uterine muscle is tightening and relaxing.

The duration is measured from the start of one contraction until the end of that same contraction.

Choice A is wrong because it measures the frequency of contractions, not the duration.

The frequency is the time between the start of one contraction and the start of the next one.

Choice B is wrong because it measures only half of the duration of a contraction.

The middle of a contraction is when the uterine muscle reaches its peak intensity and then starts to relax.

Choice D is wrong because it measures both the duration and the interval of contractions.

The interval is the time between the end of one contraction and the start of the next one.

Normal ranges for contractions during labor are:

• Duration: 30 to 90 seconds

• Frequency: 2 to 5 minutes apart

• Interval: 30 to 120 seconds

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A client in preterm labor tells the nurse, “It’s okay that I am in labor.I’m not worried. My sister’s baby was born this early, and he is doing great.” How should the nurse interpret this statement by the client? The client is:.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse suspects drug abuse in a patient admitted with no prenatal care and a diagnosis of abruptio placentae.Which question would elicit the most information from the patient concerning the suspected drug use?

Correct Answer is C

Explanation

A nurse is caring for a patient who is in labor and is placed on a monitor.How should the nurse determine the duration of contractions?

Correct Answer is C

Explanation

The mother of a 4-hour-old newborn reports to a nurse, “My son is producing breast milk.” The nurse’s response should be based on which understanding about newborn physiology? This is:.

A nurse caring for a patient in labor is evaluating the fetal heart monitor.Which finding would indicate fetal distress?

A client who is two weeks postpartum calls the office and tells a nurse, "l am having a small amount of brownish discharge from my vagina." Which response is appropriate for the nurse to make?

A nurse is assessing a newborn. Which finding may indicate a problem?

A client who had pregnancy-induced hypertension (PIH) is now postpartum. A nurse should closely monitor this client for which complication?

A client with a history of diabetes mellitus (T1 D) is 32 weeks pregnant.The client returns to the clinic for a scheduled ultrasound and non-stress test. What should the nurse expect the non-stress test to determine?

A nurse is reviewing laboratory results of a pregnant patient.Which result will require further assessment?

A client who is 22 weeks pregnant with a twin gestation comes to the clinic. The nurse instructs the client in self-care for the third trimester of pregnancy. Which statement made by the client would indicate the need for further teaching?

A client in preterm labor tells the nurse, “It’s okay that I am in labor.I’m not worried.
My sister’s baby was born this early, and he is doing great.” How should the nurse interpret this statement by the client? The client is:.