A nurse is reviewing true labor vs false labor with a pregnant client. What statement by the client indicates teaching has been effective?

"In false labor, my contractions can decrease by walking or changing positions"

"In true labor, my contractions will be painless"

"When I'm in true labor, my cervix won't dilate."

"In false labor, I will be able to feel the fetuses presenting part in my pelvis"

Answer and Explanation

The Correct Answer is A

A. "In false labor, my contractions can decrease by walking or changing positions." In false labor, also called Braxton Hicks contractions, the contractions often decrease with activity such as walking or changing positions. This is a key distinction between false and true labor.

B. "In true labor, my contractions will be painless." Contractions in true labor are usually painful and become more intense and regular as labor progresses.

C. "When I'm in true labor, my cervix won't dilate." In true labor, the cervix will dilate progressively. In false labor, there is no cervical dilation.

D. "In false labor, I will be able to feel the fetus's presenting part in my pelvis." In true labor, the fetus descends, and the presenting part may be felt. This is not a characteristic of false labor.

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Correct Answer is A

Explanation

A. Fetal head compression. Early decelerations are typically caused by fetal head compression during contractions. This is usually a benign finding and indicates that labor is progressing.

B. Uteroplacental insufficiency. Uteroplacental insufficiency causes late decelerations, not early decelerations. Late decelerations are more concerning and indicate fetal distress.

C. Cord compression. Cord compression causes variable decelerations, not early decelerations. Variable decelerations can occur at any time during a contraction.

D. Maternal hypertension. Maternal hypertension is not a direct cause of early decelerations. It may contribute to uteroplacental insufficiency, which causes late decelerations.

A. (Select All that Apply.) B. None of the above C. Location D. Amount E. Odor

Correct Answer is ["C","D","E"]

Explanation

A. None of the above: The evaluation of amniotic fluid is critical for assessing the health of the fetus and potential complications.

B. Location: The location of rupture is not a necessary part of the evaluation. The priority is assessing the fluid characteristics.

C. Amount: The amount of amniotic fluid can indicate whether there is oligohydramnios (low fluid) or polyhydramnios (excess fluid), which can affect labor and fetal health.

D. Odor: The odor of the amniotic fluid can suggest infection if it is foul-smelling, such as with chorioamnionitis.

E. Color: The color of amniotic fluid should be clear. If it is green or yellow, this can indicate the presence of meconium, which may cause complications during delivery.

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A nurse is reviewing true labor vs false labor with a pregnant client. What statement by the client indicates teaching has been effective?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What is the most common cause of early decelerations in fetal heart rate?

Correct Answer is A

Explanation

Once your client's amniotic membranes have ruptured you need to evaluate the amniotic fluid for the following. (please select all that apply)

Correct Answer is ["C","D","E"]

Explanation

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