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 A
Explanation
a. An abnormal odor of the amniotic fluid, such as a foul or fishy smell, may indicate infection and is a concern with ruptured membranes and an elevated temperature.
b. This may be necessary if the client has an infection or other complications, but it is not the first action to take.
c. This is not an appropriate action when the client has an elevated temperature and ruptured membranes.
d. Glucocorticoids may be administered to promote fetal lung maturity in preterm labor, but they are not appropriate in this situation.
Correct Answer is D
Explanation
a. The fetus establishing iron stores is not a cause of physiologic anemia during pregnancy.
b. Inadequate intake of iron can contribute to iron-deficiency anemia during pregnancy but is not the cause of physiologic anemia.
c. Decreased production of erythrocytes (RBC) is not a cause of physiologic anemia during pregnancy.
d. Dilution of hemoglobin concentration due to increased plasma volume during pregnancy is a cause of physiologic anemia.
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