Nokea
A nurse is teaching a prenatal class regarding false labor. Which of the following information should the nurse include?
- A. "Your contraction will become more intense when walking"
- B. "You will have dilation and effacement of the cervix"
- C. You will have bloody show"
- D. "Your contraction will become temporally regular"
Correct Answer: D
Rationale: False labor, also known as Braxton Hicks contractions, are contractions that are irregular and do not lead to cervical dilation and effacement, unlike true labor contractions. During false labor, contractions may feel intense when walking, but they do not become progressively more intense over time, as is seen in true labor. Additionally, false labor contractions do not typically result in bloody show, which is a sign of impending true labor. Therefore, the correct information to include regarding false labor is that contractions will remain temporarily irregular in nature.
You may also like to solve these questions
When teaching a parenting class on childhood discipline, the nurse is asked by a parent, 'How long do I place my child in time-out?' How should the nurse best respond?
- A. Use the amount of time it takes to elicit a behavior change.
- B. Use 1 minute per year of age, but do not exceed 5 minutes.
- C. Use as much time as is needed to control the behavior.
- D. Use 1 minute per year of the child's age as needed.
Correct Answer: B
Rationale: When using time-out, use 1 minute per year of the child's age (a 3-year-old would have time-out for 3 minutes). Do not exceed 5 minutes.
A patient is prescribed birth control pills. What should the nurse include in the patient education regarding missed doses?
- A. Take two doses the next day if you miss a dose.
- B. You should take the missed dose as soon as you remember, and take the next dose at the regular time.
- C. If you miss a dose, skip that day and continue as usual the next day.
- D. You should stop taking the pills if you miss a dose and contact your healthcare provider.
Correct Answer: B
Rationale: If a dose is missed, it should be taken as soon as remembered and the next dose taken at the usual time. Choice A is incorrect because taking two doses at once may cause side effects. Choice C is incorrect because missing a dose does not require skipping the next dose. Choice D is incorrect because missing a dose does not typically require stopping the pills, but rather following instructions to compensate for the missed dose.
To prevent breast engorgement a new breastfeeding mother should be instructed to:
- A. Apply cold packs to the breast before feeding
- B. Breastfeed frequently and for adequate lengths of time to empty the breasts.
- C. Limit her intake of fluids for a few days
- D. Feed her infant no more than every 4 hours
Correct Answer: B
Rationale: Frequent breastfeeding helps prevent engorgement.
To maximize absorption, what supplement should a client take with calcium?
- A. Vitamin D.
- B. Vitamin E.
- C. Folic acid.
- D. Iron.
Correct Answer: A
Rationale: Vitamin D enhances calcium absorption.
A nurse is assessing a client who is 8 hr postpartum and multiparous. Which of the following findings should alert the nurse to the client's need to urinate?
- A. Moderate lochia rubra
- B. Fundus three fingerbreadths above the umbilicus
- C. Moderate swelling of the labia
- D. Blood pressure 130/84 mm Hg
Correct Answer: B
Rationale: A fundus three fingerbreadths above the umbilicus indicates that the uterus is not adequately contracting, which can obstruct the flow of urine from the bladder. Postpartum clients often experience urinary retention due to decreased sensation in the bladder, trauma from delivery, and decreased bladder tone. Failure to empty the bladder promptly can lead to urinary retention and potential complications such as urinary tract infections or bladder distention. Therefore, the nurse should be alert to the client's need to urinate when assessing the fundal height.