At midpoint during pregnancy, you review beginning signs of labor with a client. One of the beginning signs of labor you would review is:

sharp, right-sided abdominal pain.

a sudden gush of clear fluid from the vagina

an increased pulse rate and upper abdominal pain

excessive fatigue and headache.

Answer and Explanation

The Correct Answer is B

B. A sudden gush of clear fluid from the vagina, especially if it continues to leak, is a classic sign that the amniotic sac has ruptured, known as the rupture of membranes or "water breaking." This can occur as a sign of early labor, although it does not always mean active labor has begun. It is important for the client to notify their healthcare provider if this occurs.

A. Sharp, right-sided abdominal pain is not typically associated with the beginning signs of labor. It could indicate other conditions such as appendicitis or gallbladder issues, which would require medical evaluation. Therefore, this option is not correct in the context of signs of labor.

C. An increased pulse rate and upper abdominal pain can be signs of certain complications during pregnancy but they are not typical signs of the onset of labor itself. These symptoms could indicate conditions such as preeclampsia or other medical issues that need prompt evaluation by a healthcare provider.

D. Excessive fatigue and headache can occur during pregnancy due to hormonal changes, increased physical demands, or other factors. However, they are not specific signs of the onset of labor. These symptoms should be discussed with a healthcare provider to determine their cause and appropriate management.

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Correct Answer is ["B","C","D"]

Explanation

B. Sitz baths can provide comfort and help keep the affected area clean if the pregnant woman has active genital herpes lesions. This can aid in preventing secondary infection and promote healing. Therefore, this statement is appropriate advice for managing symptoms of genital herpes during pregnancy.

C. If the pregnant woman has active genital herpes lesions (particularly genital lesions or prodromal symptoms at the onset of labor), a cesarean section (C-section) is generally recommended to reduce the risk of transmission of the herpes virus to the newborn. This recommendation is based on minimizing direct contact between the newborn and the infected genital tract during delivery.

D. Valacyclovir is an antiviral medication used to suppress outbreaks of genital herpes. In pregnant women with a history of recurrent genital herpes, antiviral therapy with medications like Valacyclovir may be prescribed starting from around the 36th week of pregnancy to reduce the risk of outbreaks and shedding of the virus at the time of delivery. This is aimed at reducing the likelihood of active lesions during labor, which in turn reduces the need for a cesarean section.

A. It is not necessarily true for all cases of maternal herpes infection. Whether the newborn requires NICU observation or treatment depends on factors such as the presence of active lesions during delivery and the development of symptoms in the newborn.

E While genital herpes can be sexually transmitted, complete abstinence from sexual intercourse throughout pregnancy is not usually required unless the healthcare provider specifically advises it due to high risk or severity of the infection. However, precautions such as using condoms can significantly reduce the risk of transmitting herpes to a partner during pregnancy.

Correct Answer is ["7"]

Explanation

Volume= Desired dose/ available concentration in 1ml Available concentration per ml= 250mg/5ml= 50mg per ml Volume= 350mg/50mg per ml= 7ml

Therefore, the nurse should administer 7ml of amoxicillin

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At midpoint during pregnancy, you review beginning signs of labor with a client. One of the beginning signs of labor you would review is:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing instructions to a pregnant client with genital herpes about the measures that are needed to protect the fetus. What information does the nurse gives to the client?(Select All that Apply.)

Correct Answer is ["B","C","D"]

Explanation

A nurse is preparing to administer amoxicillin 350 mg PO. Available is amoxicillin 250 mg/5 mL. How many mL should the nurse administer? (Round to the nearest whole number.)

Correct Answer is ["7"]

Explanation

A nurse is caring for a new mother who is concerned that her newborn's eyes cross. Which of the following statements is a therapeutic response by the nurse?

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