A nurse is reviewing the history of a client who is at 28 weeks of gestation and has pre-term labor.

Which of the following factors increases the risk of pre-term labor?

History of gestational diabetes.

History of cervical cerclage

History of recurrent urinary tract infections

History of assisted reproductive technology

Answer and Explanation

The Correct Answer is B

A cervical cerclage is a procedure that involves placing stitches around the cervix to prevent it from opening prematurely. This procedure is usually done for women who have a history of cervical insufficiency or a short cervix, which are risk factors for preterm labor.

Choice A is wrong because history of gestational diabetes is not a risk factor for preterm labor.

Gestational diabetes is a condition that causes high blood sugar during pregnancy and can affect the health of the mother and the baby, but it does not increase the risk of preterm labor.

Choice C is wrong because history of recurrent urinary tract infections (UTIs) is a risk factor for preterm labor.

UTIs are infections that affect the urinary system and can cause symptoms such as pain, burning, or frequent urination.

UTIs can also spread to the kidneys or the uterus and cause inflammation or infection that can trigger preterm labor.

Choice D is wrong because history of assisted reproductive technology (ART) is a risk factor for preterm labor.

ART refers to any medical procedure that helps with conception, such as in vitro fertilization (IVF).

ART can increase the risk of preterm labor because it can result in multiple gestations (twins, triplets, or more), which put more strain on the uterus and can cause it to contract prematurely. ART can also cause complications such as placenta previa or rupture of the uterus, which can lead to preterm labor.

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Correct Answer is B

Explanation

Instruct the client to empty her bladder.This is because a full bladder can interfere with the insertion of the needle and increase the risk of injury to the bladder or the uterus.Emptying the bladder also reduces discomfort during the procedure.

Choice A is wrong because administering tocolytic medication to stop contractions is not necessary before amniocentesis.Tocolytic medication can have side effects and should only be used when there is a clear indication of preterm labor.

Choice C is wrong because obtaining informed consent from the client is not a nursing action, but a medical one.The nurse can assist in providing information and answering questions, but the final consent should be obtained by the doctor who will perform the procedure.

Choice D is wrong because monitoring fetal heart rate and activity is not a specific action before amniocentesis, but a routine part of prenatal care.Fetal heart rate and activity can be affected by many factors, such as maternal position, fetal sleep cycle, or maternal blood sugar level.

Monitoring them before amniocentesis does not provide any useful information for the procedure.

A. Regular uterine contractions occurring every 15 minutes B. Low back pain and pelvic pressure C. Change in vaginal discharge D. Rupture of membranes

Correct Answer is A

Explanation

Regular uterine contractions occurring every 15 minutes.

This finding suggests that the client may have placental abruption, which is a serious complication that requires immediate medical attention.Placental abruption is the premature separation of the placenta from the uterine wall, which can cause heavy bleeding, pain, and fetal distress.

Choice B is wrong because low back pain and pelvic pressure are common symptoms of preterm labor, which is not as urgent as placental abruption.

Choice C is wrong because a change in vaginal discharge is not a specific sign of any complication and may be normal in pregnancy.

Choice D is wrong because rupture of membranes is not a priority finding in this case, unless it is associated with infection or cord prolapse.

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A nurse is reviewing the history of a client who is at 28 weeks of gestation and has pre-term labor. Which of the following factors increases the risk of pre-term labor?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to perform an amniocentesis on a client who is at 27 weeks of gestation and has pre-term labor. Which of the following actions should the nurse take before the procedure?

Correct Answer is B

Explanation

A client at 28 weeks of gestation presents with bleeding from the vagina. Which assessment finding should the nurse prioritize?

Correct Answer is A

Explanation

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A nurse is reviewing the history of a client who is at 28 weeks of gestation and has pre-term labor.

Which of the following factors increases the risk of pre-term labor?