A primigravida arrived at 0400 to labor and delivery complaining of painful contractions. The client reports irregular contractions since 2000 and is unable to sleep. On examination, the patient's cervical finding is fingertip and 50% effaced. The patient is admitted for therapeutic rest. The nurse anticipates the provider will order what medication.

Misoprostol

Oxytocin

A barbiturate

Fentanyl

Answer and Explanation

The Correct Answer is C

A. Misoprostol – Incorrect; this is a cervical ripening agent used for labor induction, not for therapeutic rest.

B. Oxytocin – Incorrect; oxytocin is used to stimulate labor contractions, not to promote rest.

C. A barbiturate – Correct; barbiturates (e.g., secobarbital) or other sedatives are used for therapeutic rest in clients experiencing prodromal labor with no cervical progression.

D. Fentanyl – Incorrect; fentanyl is a short-term opioid analgesic but does not promote restful sleep.

Nursing Test Bank

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Correct Answer is A

Explanation

A. Quickening – Correct; the first sensation of fetal movement, typically felt between 16-20 weeks of gestation.
B. Ballottement – Incorrect; this refers to a physical examination finding where the fetus rebounds when the cervix is tapped.
C. Lightening – Incorrect; this occurs later in pregnancy when the fetus drops into the pelvis before labor.
D. Nesting – Incorrect; this describes a surge of energy before labor, not fetal movement.

A. Decreased response with sexual activity B. a scant non-odorous white vaginal discharge C. uterine cramping during breastfeeding D. a moderate serosanguineous malodorous discharge

Correct Answer is D

Explanation

A. Decreased response with sexual activity – Incorrect; decreased libido is common postpartum and not an urgent concern.

B. A scant non-odorous white vaginal discharge – Incorrect; lochia alba (whitish discharge) is normal at 4 weeks postpartum.

C. Uterine cramping during breastfeeding – Incorrect; cramping (due to oxytocin release) is expected postpartum.

D. A moderate serosanguineous malodorous discharge – Correct; foul-smelling lochia can indicate endometritis (a postpartum infection).

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A 30-year-old primigravida who is 18 weeks pregnant, reports feeling fluttering in her lower abdomen. She states it feels like the baby is moving. This is known as:

Correct Answer is A

Explanation

A nurse is providing instructions for a client at 4 weeks postpartum visit, the client should contact her provider for which of the following findings?

Correct Answer is D

Explanation

A nurse in an emergency department is caring for an infant who has a 2-day history of vomiting and an elevated temperature. Which of the following should the nurse recognize as the most reliable indicator of fluid loss?

A nurse assisting in the care of a client, places the tocodynamometer (TOCO) transducer on a client's fundus and secures it in place. The client asks the nurse to explain the purpose of the monitoring device. Which of the following responses should the nurse make?

A nurse on a pediatric unit is reviewing transmission-based precautions. Which of the following communicable diseases should cause the nurse to implement contact precautions? (Select All that Apply.)

The provider notes a client may be close to labor when she reports more frequent Braxton Hicks contractions and preparing the nursery with the baby's furniture and clothes, an instinct that often begins at the end of the pregnancy known as

A nurse in a prenatal clinic is caring for a client who is at 12 weeks of gestation. The client asks about the cause of her heartburn. Which of the following responses should the nurse make?

A nurse is collecting data from a client at their first prenatal appointment. The client reports that the first day of their last menstrual period was September 17. Which of the following accurately represents the client's estimated date of delivery using Naegele's Rule?

A nurse is caring for a client in labor. The nurse determines that the client is beginning in the second stage of labor when which of the following assessments is noted?

What is a transitional object in the hospital to a child?