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A nurse midwife is examining a client who is a primigravida at 42 weeks of gestation and states that she believes she is in labor.
Which of the following findings confirm to the nurse that the client is in labor?.

Brownish vaginal discharge.

Cervical dilation.

Amniotic fluid in the vaginal vault.

Report of pain above the umbilicus.

Answer and Explanation

The Correct Answer is B

The correct answer is choice B.

Choice A rationale:

Brownish vaginal discharge can be a sign of labor but it is not definitive.

Choice B rationale:

Cervical dilation is a definitive sign that labor has started.

Choice C rationale:

Presence of amniotic fluid in the vaginal vault can indicate rupture of membranes but it does not confirm labor.

Choice D rationale:

Pain above the umbilicus is not a typical sign of labor.

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Correct Answer is C

Explanation

The correct answer is choice C.

Choice A rationale:

A 1-minute Apgar score of 5 points does not necessarily indicate a congenital heart defect or an immature respiratory system.

Choice B rationale:

An Apgar score of 5 points at 1 minute does not require immediate and aggressive interventions for survival.

Choice C rationale:

A 1-minute Apgar score of 5 points indicates that the infant is experiencing moderate difficulty in adjusting to extrauterine life.

Choice D rationale:

An Apgar score of 5 points at 1 minute does not indicate that the infant is adjusting well to extrauterine life.

A. Between 24 and 28 weeks' gestation. B. Between 8 and 12 weeks' gestation. C. Between 15 and 19 weeks' gestation. D. Between 30 and 32 weeks' gestation.

Correct Answer is A

Explanation

The correct answer is choice A.

Choice A rationale:

The glucose challenge test is used to check for gestational diabetes during pregnancy. People at average risk of gestational diabetes usually have this test done during the second trimester, generally between 24 and 28 weeks of pregnancy.

Choice B rationale:

This is too early in the pregnancy to screen for gestational diabetes. The body’s response to sugar changes as the pregnancy progresses, so testing is typically done later.

Choice C rationale:

This is still a bit early for the screening. The recommended time is between 24 and 28 weeks of gestation.

Choice D rationale:

This is too late in the pregnancy for the screening. The recommended time is between 24 and 28 weeks of gestation.

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A nurse midwife is examining a client who is a primigravida at 42 weeks of gestation and states that she believes she is in labor.Which of the following findings confirm to the nurse that the client is in labor?.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse determines that a newborn has a 1-minute Apgar score of 5 points.What conclusion would the nurse make from this finding?.

Correct Answer is C

Explanation

Encouraging routine prenatal visits is an important function for nurses to ensure the clients avoid complications or difficulties throughout the pregnancy and birth.The nurse would prepare to screen clients for gestational diabetes at which time during the pregnancy?

Correct Answer is A

Explanation

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A nurse midwife is examining a client who is a primigravida at 42 weeks of gestation and states that she believes she is in labor.
Which of the following findings confirm to the nurse that the client is in labor?.