A client is concerned about the risk factors for pre-term labor.
Which of the following factors should the nurse include in the discussion?
Advanced maternal age
Full-term gestation
Absence of medical or obstetric complications
Lack of uterine contractions before 37 weeks of gestation
The Correct Answer is A
Advanced maternal age is a risk factor for preterm labor, which occurs when regular contractions begin to open the cervix before 37 weeks of pregnancy.
Preterm labor can lead to premature birth, which can have serious health consequences for the baby.
Choice B is wrong because full-term gestation is not a risk factor for preterm labor. Full-term gestation means that the pregnancy lasts between 39 and 40 weeks, which is the ideal duration for the baby’s development.
Choice C is wrong because absence of medical or obstetric complications is not a risk factor for preterm labor. Some medical or obstetric complications that can increase the risk of preterm labor include urinary tract infections, high blood pressure, bleeding from the vagina, placenta previa, diabetes and blood clotting problems.
Choice D is wrong because lack of uterine contractions before 37 weeks of gestation is not a risk factor for preterm labor. Uterine contractions are a sign of preterm labor, not a cause of it.
Some other risk factors for preterm labor that the nurse should include in the discussion are:
• Previous preterm delivery or preterm labor
• Multiple gestation (twins, triplets or more)
• Abnormalities of the reproductive organs, such as a short cervix
• Ethnicity (African American and American Indian/Alaska Native mothers have higher rates of preterm birth than white mothers)
• Age of the mother (women younger than 18 are more likely to have a preterm delivery)
• Tobacco use and substance abuse
• Short time period between pregnancies (less than 18 months)
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The correct answer is choice A.Retained placental fragments are the most common cause of subinvolution.Subinvolution is a condition where the uterus does not return to its normal size after childbirth.Retained placental fragments prevent the uterus from contracting properly and cause prolonged bleeding and infection.
Choice B is wrong because infection is not the most common cause of subinvolution, but it can be an aggravating factor.Infection can cause inflammation and interfere with the healing of the uterine lining.
Choice C is wrong because uterine fibroids are not the most common cause of subinvolution, but they can be a predisposing factor.Uterine fibroids are benign tumors that can distort the shape of the uterus and impair its contraction.
Choice D is wrong because multiparity is not the most common cause of subinvolution, but it can be a predisposing factor.Multiparity means having given birth more than once, which can weaken the uterine muscles and reduce their ability to contract.
Normal ranges for uterine involution are as follows:
• Uterus weight: decreases from about 1000 g at delivery to about 60 g at six weeks postpartum.
• Uterus height: decreases from about 20 cm above the pubic bone at delivery to about 12 cm at one week postpartum, and then descends into the pelvis by six weeks postpartum.
• Uterus size: decreases from about 20 times its normal size at delivery to about its normal size at six weeks postpartum.
Correct Answer is C
Explanation
The correct answer is C. Spraying warm water over the perineum after each voiding or bowel movement.This action would help prevent infection of the perineal area by keeping it clean and reducing the risk of bacterial contamination.
A is wrong because ice packs can only help reduce swelling and pain, but not prevent infection.
B is wrong because changing the pad from back to front can introduce bacteria from the rectum to the vagina and perineum, increasing the risk of infection. The correct way is to change the pad from front to back.
D is wrong because an inflatable ring or pillow can increase blood flow to the perineal area and delay healing, which can increase the risk of infection.
A firm surface is better for sitting after delivery.
Some other preventive measures for postpartum infections include washing hands before touching the perineal area, using only maxi pads and not tampons for postpartum bleeding, taking preventive antibiotics if prescribed, and contacting a doctor if symptoms of infection appear.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.