A nurse is educating a client who is at risk for pre-term labor about measures to prevent it from occurring.

Which of the following instructions should the nurse include?

Avoid sexual intercourse until term

Drink at least 2 L of water per day

Lie down when feeling contractions

Take aspirin for pelvic pain

Answer and Explanation

The Correct Answer is B

Drinking enough water can help prevent dehydration, which can trigger preterm labor contractions. Dehydration can also cause low amniotic fluid levels, which can affect fetal growth and development.

Choice A is wrong because avoiding sexual intercourse until term is not necessary for most women at risk for preterm labor. Sexual activity does not cause preterm labor unless there are other complications, such as placenta previa or cervical insufficiency.

Choice C is wrong because lying down when feeling contractions may not stop preterm labor. If a woman has regular contractions that cause cervical change, she should seek medical attention as soon as possible. Lying down may also reduce blood flow to the uterus and placenta, which can affect fetal oxygenation.

Choice D is wrong because taking aspirin for pelvic pain is not recommended for pregnant women. Aspirin can increase the risk of bleeding and affect fetal blood circulation.

Pelvic pain may be a sign of preterm labor or other complications, so it should be evaluated by a health care provider

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Correct Answer is A

Explanation

Assess fetal heart rate and activity.

The nurse should identify that a client who reports a sudden gush of fluid from her vagina is at risk forpremature rupture of membranes (PROM), which can lead toinfection,cord prolapse, andfetal distress.Therefore, the priority action is to assess the fetal heart rate and activity to monitor for signs of hypoxia or distress.

Choice B is wrong because performing a nitrazine test on the fluid is not the first action.A nitrazine test can confirm the presence of amniotic fluid by detecting its alkaline pH, but it is not as urgent as assessing the fetal well-being.

Choice C is wrong because administering oxytocin (Pitocin) IV infusion is contraindicated in this situation.Oxytocin is used to induce or augment labor, but it can causeuterine hyperstimulation,fetal distress, andplacental abruptionif given to a client who has PROM.

Choice D is wrong because placing the client in Trendelenburg position is not recommended for a client who has PROM.Trendelenburg position can increase the risk ofcord prolapseandaspirationin this situation.

A. Avoid breastfeeding until the newborn reaches term gestation B. Use an apnea monitor at home as prescribed C. Keep the newborn in a warm environment at all times D. Delay immunizations until the newborn reaches term gestation.

Correct Answer is B

Explanation

Pre-term newborns are at risk of apnea of prematurity, which is a pause in breathing for more than 20 seconds or less than 20 seconds with bradycardia or cyanosis.An apnea monitor can detect and alert the parents of any episodes of apnea and help them intervene promptly.

Choice A is wrong because breastfeeding is beneficial for pre-term newborns and can provide them with antibodies, nutrients, and bonding with the mother.Breastfeeding should be encouraged as soon as the newborn is medically stable and able to suck and swallow.

Choice C is wrong because keeping the newborn in a warm environment at all times can lead to overheating, dehydration, and increased metabolic rate.Pre-term newborns have difficulty regulating their body temperature and need to be dressed appropriately for the ambient temperature.They should also be monitored for signs of cold stress or heat stress.

Choice D is wrong because delaying immunizations until the newborn reaches term gestation can expose the newborn to preventable infections that ...

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A nurse is educating a client who is at risk for pre-term labor about measures to prevent it from occurring. Which of the following instructions should the nurse include?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is at 33 weeks of gestation and has pre-term labor. The client reports a sudden gush of fluid from her vagina. Which of the following actions should the nurse take first?

Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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A nurse is educating a client who is at risk for pre-term labor about measures to prevent it from occurring.

Which of the following instructions should the nurse include?