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 D

Explanation

a. Human papillomavirus (HPV) is a viral STI, not bacterial.

b. Herpes simplex is a viral STI, not bacterial.

c. Condyloma lata is a manifestation of secondary syphilis, which is caused by Treponema pallidum, a bacterium, but it is not the most common bacterial STI.
d. Chlamydia is the most common bacterial STI.

A. The client is immune to the rubella virus. B. Administer the first dose of rubella vaccine at this time. C. The client is not experiencing a rubella infection at this time D. The client requires a rubella immunization in post-partum

Correct Answer is D

Explanation

a. A negative rubella titer indicates that the client is not immune to rubella.
b. Rubella vaccine is contraindicated during pregnancy.
c. A negative rubella titer does not indicate whether the client is currently experiencing a rubella infection.
d. A negative rubella titer means that the client does not have antibodies against the rubella virus, which can cause congenital defects in the fetus if the mother gets infected during pregnancy. Therefore, the client should receive the rubella vaccine after delivery, when it is safe to do so.

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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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Correct Answer is D

Explanation

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Correct Answer is D

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: