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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
a. Maternal hypotension is not a common side effect of terbutaline, which is a beta-adrenergic agonist that can cause tachycardia and hypertension.
b. Pulmonary edema is a serious complication of terbutaline therapy, which can cause fluid overload, dyspnea, chest pain, and crackles in the lungs. The nurse should monitor the woman's vital signs, oxygen saturation, urine output, and lung sounds, and report any signs of pulmonary edema to the physician immediately.
c. Fetal bradycardia is not related to terbutaline, which can cause fetal tachycardia.
d. Fetal hypokalemia is also not associated with terbutaline, which can cause maternal hypokalemia due to increased potassium uptake by the cells.
Correct Answer is C
Explanation
a. A positive CST indicates late decelerations that persist in more than 50% of the contractions, which is not the case in this scenario.
b. A negative CST indicates the absence of late decelerations, which is not the case in this scenario.
c. A satisfactory CST indicates that there are no late decelerations, and the test is considered normal.
d. Reactive is not a term used to interpret a CST.
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