Which of the following signs or symptoms may indicate false labor in a patient?

Contractions that stop or decrease with activity

Progressive dilation and effacement of the cervix

Regular and increasing contractions

Lower back pain and pressure

Answer and Explanation

The Correct Answer is A

A. Contractions that stop or decrease with activity: False labor contractions (Braxton Hicks) often subside with rest or a change in activity.

B. Progressive dilation and effacement of the cervix: This is a hallmark of true labor, not false labor.

C. Regular and increasing contractions: True labor contractions occur regularly, intensify, and increase in frequency and duration.

D. Lower back pain and pressure: Often associated with true labor, although some false labor contractions may also cause discomfort.

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Correct Answer is D

Explanation

A. Maternal fever: Fever is associated with fetal tachycardia, not variable decelerations.

B. Fetal head compression: This causes early decelerations, not variable decelerations.

C. Polyhydramnios: Excess amniotic fluid can cause complications but does not directly cause variable decelerations.

D. Umbilical cord compression: Variable decelerations are due to compression of the umbilical cord, which affects fetal oxygenation.

A. It reduces the patient’s perception of pain. B. It is intensified by the vertex position of the fetus. C. It can be completely controlled by non-pharmacological techniques. D. It is influenced by culture.

Correct Answer is D

Explanation

A. It reduces the patient’s perception of pain: Expression of pain does not necessarily reduce perception.

B. It is intensified by the vertex position of the fetus: Labor pain may be influenced by fetal position, but the statement is too specific.

C. It can be completely controlled by non-pharmacological techniques: Pain management techniques help but may not eliminate pain.

D. It is influenced by culture: Cultural factors significantly shape how individuals express and perceive pain.

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Which of the following signs or symptoms may indicate false labor in a patient?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting in the care of a client who is in active labor. The nurse notes variable decelerations of the FHR. The nurse should identify which of the following as a cause of variable decelerations?

Correct Answer is D

Explanation

A nurse is teaching a childbirth preparation class. The group is discussing individual expressions of labor pain. What statement is accurate about a patient's expression of pain?

Correct Answer is D

Explanation

A nurse is assisting with the care of a client who is using pattern-paced breathing during the first stage of labor. The client says she feels lightheaded and her fingers are tingling. Which of the following actions should the nurse take?

A nurse is assisting with the care of a client who is receiving oxytocin via IV infusion following a vaginal delivery. Which of the following findings should the nurse monitor to evaluate effectiveness of this medication?

A nurse is assisting in the care of a client who is in labor. The doctor documents the vaginal examination as: 3 cm, 30%, and -1. The nurse evaluates this documentation to mean which of the following?

A nurse is assisting a nurse midwife in examining a client who is a primigravida at 42 weeks of gestation and states that she thinks she is in labor. Which of the following findings confirm that the client is in labor?

A nurse is assisting with the care of a client who is experiencing preterm labor and is scheduled to undergo amniocentesis. The client needs an amniocentesis to determine which of the following findings?

A nurse is assisting with the care of a client who is in labor and has the urge to push. Which of the following instructions should the nurse give the client?

The nurse is caring for a laboring patient who is not reporting pain. What sign would alert the nurse of the need for pain relief?