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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The correct answer is choice A.
Choice A rationale:
A newborn who is getting enough breast milk should wet 6 to 12 diapers per day. This is because adequate hydration, a sign of sufficient milk intake, leads to frequent urination.
Choice B rationale:
A wake cycle of 30 to 60 minutes after each feeding does not necessarily indicate the baby is getting enough milk. It could be due to other factors like sleep patterns or general health.
Choice C rationale:
A baby should not sleep at least 6 hours between feedings. Newborns need to be fed every 2-3 hours.
Choice D rationale:
While burping can be a sign of a good feeding, it does not necessarily mean the baby is getting enough milk. It’s more related to the baby’s digestion of the milk.
Correct Answer is A
Explanation
The correct answer is choice A.
Choice A rationale:
Fetal heart tones detected by ultrasound are a positive sign of pregnancy because they provide direct evidence of a fetus.
Choice B rationale:
Breast tenderness is a presumptive sign of pregnancy, not a positive one, as it can be caused by other conditions such as premenstrual syndrome.
Choice C rationale:
A positive urine pregnancy test is a probable sign of pregnancy, not a positive one, as it measures the presence of hCG, a hormone produced during pregnancy. However, certain medications and medical conditions can also produce hCG.
Choice D rationale:
Fatigue is a presumptive sign of pregnancy, not a positive one, as it can be caused by various other conditions such as stress or illness.
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