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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
The client should not limit their physical activity and rest as much as possible, unless advised by their provider.Excessive rest and inactivity can increase the risk of blood clots and decrease blood circulation, which can affect the placenta and the fetus.The client should follow the recommended guidelines for physical activity during pregnancy, unless they have a medical condition that requires bed rest or reduced activity.
Choice A is wrong because smoking and drinking alcohol during pregnancy are known risk factors for preterm labor and birth.Smoking can reduce blood flow to the placenta and affect fetal growth and development, while alcohol can cause fetal alcohol spectrum disorders and other complications.
Choice B is wrong because reporting any vaginal bleeding or fluid leakage to the provider is important to prevent or treat preterm labor and birth.Bleeding can indicate placenta previa or placental abruption, which are serious conditions that can cause premature delivery or fetal distress.Fluid leakage can indicate rupture of membranes, which can increase the risk of infection and preterm labor.
Choice D is wrong because drinking plenty of fluids and eating a balanced diet are beneficial for the health of the mother and the fetus.Dehydration can cause uterine contractions and trigger preterm labor, while malnutrition can affect fetal growth and development.A balanced diet can also help prevent or manage conditions like diabetes, high blood pressure, and anemia, which are risk factors for preterm labor and birth.
Correct Answer is B
Explanation
Blood pressure of 150/90 mmHg.This is because terbutaline can causeelevated blood pressureas a side effect.
The nurse should report this finding to the provider as it may indicate hypertension or a hypertensive crisis.
Choice A is wrong because a heart rate of 110/min is not abnormal for a person who has received terbutaline.Terbutaline can causefast or pounding heartbeatsas a common side effect.
Choice C is wrong because a blood glucose of 90 mg/dL is within the normal range of 70-130 mg/dL before meals.Terbutaline can causetransient hyperglycemia(high blood sugar) as a serious side effect, but this is not the case here.
Choice D is wrong because a temperature of 37°C (98.6°F) is normal for a human being.Terbutaline does not cause fever or hypothermia as a side effect.
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