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. Vaginal sponge B. Abstinence. C. Coitus interruptus D. Hormonal contraceptives.

Correct Answer is A

Explanation

a. The vaginal sponge has been associated with an increased risk of toxic shock syndrome (TSS), so it should be avoided in women with a history of TSS.
b. Abstinence is a highly effective contraceptive method but may not be practical for all couples.
c. This method is not as effective as other contraceptive methods and may not be practical for all couples.
d. Hormonal contraceptives are generally safe for women with a history of TSS and are an effective method of contraception.

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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

A woman was treated recently for toxic shock syndrome (TSS). She has intercourse occasionally and uses over-the-counter protection. On the basis of her history, what contraceptive method should she and her partner avoid?

Correct Answer is A

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: