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A nurse is meeting with a group of pregnant clients who are in their last trimester to teach them the signs that may indicate they are going into labor.
The nurse determines the session is successful after the clients correctly choose which signs as an indication of starting labor? Select all that apply.

Constipation.

Weight gain.

Bloody show.

Lightening.

Backache.

Answer and Explanation

Correct Answer : C

The correct answers are choices C, D, and E.

Choice A rationale:

Constipation is not a sign of labor. It is more commonly associated with pregnancy rather than the onset of labor.

Choice B rationale:

Weight gain is not a sign of labor. In fact, weight gain often stops as labor approaches.

Choice C rationale:

Bloody show is a sign of labor. It is the discharge of the mucus plug that seals the cervix during pregnancy.

Choice D rationale:

Lightening, or the baby dropping into the pelvis, is a sign of labor.

Choice E rationale:

Backache can be a sign of labor, as the muscles and joints stretch and shift in preparation for childbirth.

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Correct Answer is ["A","E","F"]

Explanation

The correct answers are choices B, E, and F.

Choice A rationale:

Nausea with vomiting during the first trimester is a common symptom of pregnancy and does not need to be reported immediately to the health care provider.

Choice B rationale:

Sudden leakage of fluid during the second trimester could indicate premature rupture of membranes, which can lead to infection and preterm labor. This should be reported immediately.

Choice C rationale:

Urinary frequency in the third trimester is a common symptom of pregnancy due to the growing uterus putting pressure on the bladder.

Choice D rationale:

Backache during the second trimester is a common symptom of pregnancy as the body adjusts to the growing uterus.

Choice E rationale:

Lower abdominal pain with shoulder pain in the first trimester could indicate an ectopic pregnancy, which is a medical emergency and should be reported immediately.

Choice F rationale:

Headache with visual changes in the third trimester could indicate preeclampsia, a serious condition that can lead to seizures, stroke, and other complications. This should be reported immediately.

A. Abdominal pain with scant red vaginal bleeding. B. Painless red vaginal bleeding. C. Increasing abdominal pain with a nonrelaxed uterus. D. Intermittent abdominal pain following the passage of bloody mucus.

Correct Answer is B

Explanation

The correct answer is choice B.

Choice A rationale:

Abdominal pain with scant red vaginal bleeding is more indicative of placental abruption, not placenta previa.

Choice B rationale:

Painless red vaginal bleeding is a classic sign of placenta previa. This happens because the placenta is covering the cervix, which can lead to bleeding.

Choice C rationale:

Increasing abdominal pain with a nonrelaxed uterus is more indicative of a condition like uterine rupture or labor, not placenta previa.

Choice D rationale:

Intermittent abdominal pain following the passage of bloody mucus is more likely a sign of labor, not placenta previa.

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Naxlex Comprehensive Predictor Exams

The nurse is preparing a teaching plan for a pregnant woman about the signs and symptoms to be reported immediately to her health care provider.Which signs and symptoms would the nurse include? Select all that apply.

Correct Answer is ["A","E","F"]

Explanation

A nurse is caring for a client who is at 36 weeks of gestation and who has a suspected placenta previa.Which of the following findings support this diagnosis?.

Correct Answer is B

Explanation

Which information would the nurse emphasize in the teaching plan for a postpartum woman who is reluctant to begin taking warm sitz baths?

A nurse is teaching about crib safety with the parent of a newborn.Which of the following statements by the client indicates understanding of the teaching?.

A client presents to the health care clinic for her first prenatal checkup.What nutritional supplement should the nurse discuss with the client to prevent neural tube defects in the developing fetus?

A nurse is completing the admission assessment of a client who is at 38 weeks of gestation and has severe preeclampsia.Which of the following is an expected finding?.

The client is being rushed into the labor and delivery unit. At which station would the nurse document the fetus immediately prior to birth? (Enter a numerical value)

In an effort to decrease complications for the infant right after birth, the nurse would expect to administer which medication for prophylaxis of potential eye conditions?.

The Apgar score is based on which 5 parameters?.

A nurse is observing the electronic fetal heart rate monitor tracing for a client who is at 40 weeks of gestation and is in labor.The nurse should suspect a problem with the umbilical cord when she observes which of the following patterns?.