A nurse is caring for a client who has preterm labor.

Which manifestation should the nurse identify as a complication of preterm labor?

Increased fetal movement

Decreased uterine contractions

Haemorrhage due to placental abruption

Increased cervical dilation

Answer and Explanation

The Correct Answer is C

Haemorrhage due to placental abruption.

Placental abruption is a serious complication of preterm labor that occurs when the placenta separates from the wall of the uterus before delivery. This can cause heavy bleeding and endanger the life of both the mother and the baby.

Choice A is wrong because increased fetal movement is not a complication of preterm labor. In fact, decreased fetal movement may indicate fetal distress.

Choice B is wrong because decreased uterine contractions are not a complication of preterm labor. Preterm labor is defined as regular contractions that result in the opening of the cervix before 37 weeks of pregnancy.

Choice D is wrong because increased cervical dilation is not a complication of preterm labor, but a sign of it. Cervical dilation indicates that the cervix is preparing for delivery and may lead to preterm birth.

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Correct Answer is B

Explanation

The correct answer is choice B. Administering tocolytics.Tocolytics are drugs that inhibit uterine contractions and can delay preterm labor for a short time.This can allow time for the administration of antenatal corticosteroids and transfer to a tertiary care facility if necessary.

Choice A is wrong because administering intravenous fluids does not improve blood flow to the placenta and fetus.It may also increase the risk of pulmonary edema in women with preterm labor.

Choice C is wrong because administering corticosteroids does not improve blood flow to the placenta and fetus.Corticosteroids are given to enhance fetal lung maturity and reduce the risk of neonatal complications such as respiratory distress syndrome, intracranial hemorrhage, and necrotizing enterocolitis.

However, they do not stop preterm labor.

Choice D is wrong because providing emotional support does not improve blood flow to the placenta and fetus.Emotional support is important for women with preterm labor, but it is not a priority intervention to prevent fetal hypoxia or acidosis.

A. Fetal heart rate of 150/min B. Fetal heart rate variability of 10/min C. Fetal heart rate decelerations D. Fetal heart rate accelerations

Correct Answer is C

Explanation

Fetal heart rate decelerations indicate fetal distress because they reflect a decrease in blood flow or oxygen to the fetus.

Choice A is wrong because a fetal heart rate of 150/min is within the normal range of 110-160 bpm.Choice B is wrong because a fetal heart rate variability of 10/min is considered moderate and reassuring.Choice D is wrong because fetal heart rate accelerations are a sign of fetal well-being and indicate that the fetus is responding to stimuli.

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A nurse is caring for a client who has preterm labor. Which manifestation should the nurse identify as a complication of preterm labor?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client in pre-term labor. Which intervention should the nurse prioritize to improve blood flow to the placenta and fetus?

Correct Answer is B

Explanation

A nurse is performing a physical examination on a client who is at 30 weeks of gestation and has pre-term labor. Which of the following findings indicates fetal distress?

Correct Answer is C

Explanation

A client with pre-term labor is at 28 weeks of gestation. Which intervention should the nurse prioritize to monitor fetal well-being?

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A nurse is caring for a client who has preterm labor.

Which manifestation should the nurse identify as a complication of preterm labor?