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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 B

Explanation

The correct answer is choice B.

Choice A rationale:

The term “-1” in a vaginal examination does not refer to the effacement of the cervix. Effacement is usually expressed as a percentage.

Choice B rationale:

In a vaginal examination, “-1” refers to the station of the fetus. A “-1” station means that the presenting part of the fetus (usually the head) is 1 cm above the ischial spines.

Choice C rationale:

The term “-1” in a vaginal examination does not refer to the dilation of the cervix. Dilation is usually measured in centimeters, from 0 (no dilation) to 10 (fully dilated).

Choice D rationale:

A “-1” station does not mean that the presenting part is below the ischial spines. It means that it is above the ischial spines.

A. "The most common manifestation of postpartum depression is harming the infant.”. . B. "Postpartum depression usually begins 48 hours after childbirth.”. . C. "It's common for clients who have postpartum depression to exhibit psychotic behavior.”. . D. "Postpartum depression is more likely to occur in women who have a history of depression.”. .

Correct Answer is D

Explanation

The correct answer is choice D.

Choice A rationale:

While some mothers with postpartum depression may have thoughts of harming their infant, it’s not the most common manifestation.

Choice B rationale:

Postpartum depression typically begins within the first few weeks after childbirth, not necessarily within 48 hours.

Choice C rationale:

Psychotic behavior is more commonly associated with postpartum psychosis, a rare and severe form of postpartum psychiatric illness, not postpartum depression.

Choice D rationale:

Women with a history of depression are indeed more likely to experience postpartum depression. This is the correct answer.

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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 on the labor and delivery unit is caring for a client following a vaginal examination by the provider which is documented as: -1. Which of the following interpretations of this finding should the nurse make?

Correct Answer is B

Explanation

A nurse is discussing postpartum depression with a newly licensed nurse.Which of the following statements by the newly licensed nurse indicates an understanding of this condition?.

Correct Answer is D

Explanation

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

The Apgar score is based on which 5 parameters?.

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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?

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?.