A pregnant client is seen for a regular prenatal visit and tells the nurse that she is experiencing irregular contractions and painless. The nurse determines that she is experiencing Braxton Hicks contractions. On the basis of this finding, which nursing action is most appropriate?

Select one:

Call the maternity unit and inform them that the client will be admitted in a labor and delivery unit.

Instruct the client to maintain bed rest for the remainder of the pregnancy.

Inform the client that these contractions are normal and may occur throughout the pregnancy.

Contact the health care provider.

Answer and Explanation

The Correct Answer is C

a.   Braxton Hicks contractions are normal and do not require admission to the labor and delivery unit.
b.   Braxton Hicks contractions are normal and do not require bed rest.
c.   This is the most appropriate action as Braxton Hicks contractions are normal and may occur throughout the pregnancy.
d.   Braxton Hicks contractions are normal and do not require contact with the health care provider.

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Correct Answer is C

Explanation

a. This may be done if the fetal heart rate (FHR) tracing is not clear, but it is not the first priority in this situation.
b. Early decelerations can indicate fetal head compression and is a normal finding hence there is no need of notifying the healthcare provider.
c. One of the FHR patterns that may be observed is early decelerations, which are symmetrical decreases in FHR that coincide with uterine contractions. Early decelerations are usually benign and reflect fetal head compression during contractions. The nurse's first priority in this case is to document as a normal finding and continue to monitor the FHR and uterine activity.
d. This may help relieve pressure on the fetal head and improve FHR, but it is not the first priority in this situation.

A. ROA B. RSA C. LOA D. LSP

Correct Answer is C

Explanation

a. ROA means right occiput anterior, which would imply that the fetal back is on the mother's right side.
b. RSA means right sacrum anterior, which would imply that the fetal buttocks are in the pelvis inlet and the fetal head is in the fundus.
c. LOA, which means left occiput anterior means that the fetus is in a longitudinal lie, with its head as the presenting part, facing the right posterior quadrant of the mother's pelvis, and its back on the mother's left anterior side. This is one of the most common and favorable fetal positions for delivery.
d. LSP means left sacrum posterior, which would imply that the fetal buttocks are on the mother's left side and slightly rotated toward the back (posterior).

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A pregnant client is seen for a regular prenatal visit and tells the nurse that she is experiencing irregular contractions and painless. The nurse determines that she is experiencing Braxton Hicks contractions. On the basis of this finding, which nursing action is most appropriate? Select one:

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Naxlex Comprehensive Predictor Exams

Correct Answer is C

Explanation

When assessing the fetus using Leopold maneuvers, the nurse feels a round, firm, movable fetal part in the pelvis inlet and a long, smooth, and soft surface in the mother's left side close to the midline. What is the likely position of the fetus? Select one:

Correct Answer is C

Explanation

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A pregnant client is seen for a regular prenatal visit and tells the nurse that she is experiencing irregular contractions and painless. The nurse determines that she is experiencing Braxton Hicks contractions. On the basis of this finding, which nursing action is most appropriate?

Select one: