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
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 D
Explanation
Bluish-white secretions.
This indicates a positive FFN test, which means that the fetal fibronectin protein has been released into the cervical secretions.Fetal fibronectin is a protein that helps keep the amniotic sac attached to the lining of the uterus.A positive FFN test means that there is a higher risk of preterm labor.
Choice A is wrong because yellow-green discharge could indicate an infection, not preterm labor.
Choice B is wrong because bloody show is a sign of cervical dilation, not preterm labor.
Choice C is wrong because sticky mucus plug is a normal part of pregnancy, not preterm labor.
A negative FFN test means that there is a less than 1% chance of preterm labor within the next 2 weeks.The FFN test is used to rule out preterm labor and avoid unnecessary treatments.It is approved for use in women with symptoms of preterm labor who are 24 to 35 weeks pregnant.
Correct Answer is A
Explanation
Mild lower abdominal cramping is a sign of preterm laborand should be prioritized as a potential complication.Preterm labor occurs when regular contractions begin to open your cervix before 37 weeks of pregnancy.
A full-term pregnancy should last about 40 weeks.
Choice B is wrong because a change in vaginal discharge color is not a specific sign of preterm labor.
It could be due to other factors such as infection or normal hormonal changes.
Choice C is wrong because a brief episode of low back pain is not a sign of preterm labor.
It could be due to posture, muscle strain or other causes.
Choice D is wrong because occasional fetal hiccups are not a sign of preterm labor.
They are normal movements of the fetus and do not indicate any distress or danger.
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