A woman calls the labor and delivery unit stating she is in labor. What questions would you ask her to determine if she is in true labor? (Select all that apply.)
Have you noticed any bloody show or mucus plug discharge?
Do you have a fever or chills?
Are your contractions continuing despite changes in activity or position?
Is the baby moving less than usual?
Are your contractions becoming more frequent and intense?
Correct Answer : A,C,E
A. Have you noticed any bloody show or mucus plug discharge? – Correct; bloody show is a sign of cervical dilation, indicating true labor.
B. Do you have a fever or chills? – Incorrect; fever and chills suggest infection, not labor progression.
C. Are your contractions continuing despite changes in activity or position? – Correct; contractions in true labor persist even with activity changes.
D. Is the baby moving less than usual? – Incorrect; fetal movement changes require assessment, but they do not confirm true labor.
E. Are your contractions becoming more frequent and intense? – Correct; contractions in true labor become stronger, longer, and closer together.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "We are looking for increases in fetal heart rate of 15/min for at least 15 seconds. This means the baby is doing well." – Correct; a reactive NST shows at least two accelerations of 15 bpm lasting at least 15 seconds within 20 minutes, indicating fetal well-being.
B. "We will draw blood to evaluate the baby's risk of genetic problems." – Incorrect; an NST does not involve blood work; genetic testing is done through amniocentesis or blood screening.
C. "I am looking at the ultrasound to see if the baby has any congenital anomalies." – Incorrect; an NST does not evaluate congenital anomalies; an ultrasound or amniocentesis would be used for that.
D. "If the baby moves 5 times in 15 minutes, then the baby is healthy." – Incorrect; fetal movement is assessed with kick counts, not an NST.
Correct Answer is A
Explanation
A. EDD = LMP + 1 year - 3 months + 7 days. LMP: September 17. Subtract 3 months: June 17. Add 7 days: June 24
B. EDD = LMP + 1 year - 3 months + 7 days. LMP: September 17. Subtract 3 months: June 17. Add 7 days: June 24
C. EDD = LMP + 1 year - 3 months + 7 days. LMP: September 17. Subtract 3 months: June 17. Add 7 days: June 24
D. EDD = LMP + 1 year - 3 months + 7 days. LMP: September 17. Subtract 3 months: June 17. Add 7 days: June 24
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