The nurse educator is preparing a presentation on preterm labor (PTL) and birth (PTB). Which information does the nurse recognize as being inaccurate?

PTB is the leading cause of neonatal mortality and for antenatal hospitalization.

PTBs result in increased numbers of neonatal and infant deaths and long-term neurological impairment.

PTL is defined as regular uterine contractions resulting in cervical changes before 37 weeks gestation.

Average costs for premature/low birthweight infants are more than 10 times as high than for other newborns.

Answer and Explanation

The Correct Answer is A

Choice A rationale

PTB is the leading cause of neonatal mortality and for antenatal hospitalization. This is accurate because preterm birth (PTB) is a significant cause of infant mortality and often requires extended hospital stays for the management of complications.

Choice B rationale

PTBs result in increased numbers of neonatal and infant deaths and long-term neurological impairment. This is accurate because preterm births are associated with higher rates of mortality and long-term health issues in infants.

Choice C rationale

PTL is defined as regular uterine contractions resulting in cervical changes before 37 weeks gestation. This is accurate because preterm labor (PTL) is indeed characterized by these symptoms occurring before full-term pregnancy.

Choice D rationale

Average costs for premature/low birthweight infants are more than 10 times as high than for other newborns. This is accurate because medical care for premature and low birthweight infants is significantly more expensive due to the need for specialized care and extended hospital stays.

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Correct Answer is C

Explanation

Choice A rationale

Reporting abnormal findings to the obstetrician is unnecessary because an increase in the Bishop score from 4 to 10 indicates successful cervical ripening and readiness for labor induction.

Choice B rationale

Placing the client on her side is not directly related to the assessment of cervical ripening or the Bishop score. It may be considered for comfort during labor.

Choice C rationale

Monitoring for the onset of labor is appropriate since the increase in the Bishop score to 10 suggests that the cervix is favorable for labor. Continuous monitoring is essential to detect the onset and progression of labor.

Choice D rationale

Performing nitrazine analysis of amniotic fluid is not relevant to the assessment of cervical ripening or the Bishop score. This test is typically used to confirm the presence of amniotic fluid in cases of suspected rupture of membranes.

A. Check the blood sugar of a gestational diabetic. B. Assess the vaginal blood loss of a client who is recovering from a spontaneous abortion. C. Assess the patellar reflexes of a client with pre-eclampsia without severe features. D. Check the fetal heart rate of a client whose membranes just ruptured.

Correct Answer is D

Explanation

Choice A rationale

Checking blood sugar is important in gestational diabetes but isn't immediate priority in a triage setting compared to assessing urgent conditions that could harm the fetus or mother immediately.

Choice B rationale

Assessing vaginal blood loss post-abortion is crucial, but in the presence of ruptured membranes, fetal heart rate checks take precedence to ensure the fetus's immediate well-being.

Choice C rationale

Assessing patellar reflexes in pre-eclampsia management is significant, but immediate priority in labor and delivery triage goes to ensuring fetal safety after membrane rupture.

Choice D rationale

Checking the fetal heart rate after membrane rupture is a priority because it provides immediate information about the fetus's status and any potential complications like cord prolapse or distress.

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The nurse educator is preparing a presentation on preterm labor (PTL) and birth (PTB). Which information does the nurse recognize as being inaccurate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with an obstetrical history of G1 P0000 received dinoprostone for cervical ripening 8 hours ago.The Bishop score at that time was 4. The Bishop score is now 10. Which of the following actions by the nurse is appropriate?

Correct Answer is C

Explanation

A nurse is triaging four clients on the labor and delivery unit.Which of the following actions should be a priority for nursing care?

Correct Answer is D

Explanation

The nurse observes a new staff member caring for an eclamptic client following a seizure.Which of the following actions by the staff member indicates an understanding of eclampsia?

A delirious client is admitted to the hospital in labor.She has had no prenatal care and vials of crack cocaine are found in her pockets.The nurse monitors this client carefully for which of the following intrapartum complications?

A preterm labor client at 30 weeks' gestation reported rupture of membranes 4 hours ago.This was confirmed on examination.The nurse prepares to administer IM dexamethasone.When the client asks why she is receiving the drug, the nurse replies:

When assisting with a vacuum-assisted vaginal delivery, the nurse is aware that adherence to which guidelines for the vacuum device will minimize the nurse's liability in vacuum-assisted vaginal births? Select all that apply.

A client is scheduled for an external version.The nurse would expect to prepare which of the following medications to be administered prior to the procedure?

Which symptom would the nurse expect to observe in a postpartum client with a vaginal hematoma?

The nursing staff in a labor and delivery unit has noticed an increase in the number of patients experiencing placental abruption.The nurses begin to review demographics for the patients involved.Which risk factors will the nurses expect? Select all that apply.

A client with pre-eclampsia with severe features at 38 weeks' gestation is being induced with IV oxytocin.Which of the following would warrant the nurse to stop the infusion?