Complete the following sentence by using the list of options.
The nurse should recognize the client is experiencing
The Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"B"}
The nurse should recognize that the client is experiencing preterm labor due to previous preterm birth.
Rationale
Option 1: Preterm labor
The client’s symptoms are most consistent with preterm labor. Preterm labor is characterized by regular
uterine contractions before 37 weeks of gestation, cervical dilation and effacement, and sometimes vaginal discharge. In this case, the client has lower back pain, uterine contractions every 8 minutes, cervical dilation of 2 cm, and 50% effacement—all indicative of preterm labor.
Option 2: Previous Preterm Birth
The client's history of a preterm spontaneous vaginal birth at 30 weeks gestation increases the risk of preterm labor in the current pregnancy. The previous preterm birth is a known risk factor for future preterm labor.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Tucking the chin toward the chest (not lifting the chin) may help improve swallowing by narrowing the airway, making it easier to swallow and reducing the risk of aspiration.
B.This positioning makes it easier for the nurse to observe signs of dysphagia, offer assistance as needed, and maintain better eye contact with the client. It also helps promote a more relaxed and reassuring environment, which can improve the client’s ability to swallow.
C. Talking during feeding can increase the risk of aspiration and compromise safe swallowing.
D. Coughing during feedings should not be discouraged, as it may indicate that the client is attempting to clear the airway and should be monitored carefully.
Correct Answer is D
Explanation
A. Using the balloon port can contaminate the specimen and is not the proper method to obtain a sterile sample.
B. Disconnecting the catheter from the collection tubing can increase the risk of infection.
C. Unclamping the collection port could cause urine to back up into the catheter and introduce bacteria.
D. The retention port should be used to obtain a sterile specimen from the catheter, as it is designed for this purpose.
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