Nokea
Which statement indicates a woman understands activity limitations for the management of preterm labor?
- A. After my shower in the morning, I do the laundry and straighten up the house; then I rest.'
- B. I pack a picnic basket and put it next to the sofa so I do not have to get up for food during the day.'
- C. I have a 2-year-old to care for, but I try to rest as much as I can.'
- D. I get really bored at home, so I go to the shopping mall for just a little while.'
Correct Answer: B
Rationale: Lengthy activity restrictions are often needed to prevent preterm birth. The nurse can help the woman identify ways to organize necessary activities and maximize rest.
You may also like to solve these questions
What nursing assessment should be reported immediately after an amniotomy?
- A. Fetal heart rate is regular at 154 beats/minute.
- B. Amniotic fluid is clear with flecks of vernix.
- C. Amniotic fluid is watery and pale green.
- D. Maternal temperature is 37.8?°C.
Correct Answer: C
Rationale: Amniotic fluid should be clear. Green fluid indicates the fetus has passed meconium, which is associated with fetal compromise.
What are the rationales for labor induction?
- A. Placenta previa
- B. Prolapse of cord
- C. High station of fetus
- D. Maternal diabetes
- E. Placental insufficiency
Correct Answer: D,E
Rationale: Maternal diabetes and placental insufficiency are rationales for induction. Placenta previa, prolapse of cord, and high station of fetus are contraindications.
Which interventions could a nurse apply to help stimulate contractions?
- A. Encouraging the patient to sit upright
- B. Assisting the patient to ambulate
- C. Stimulating the nipples
- D. Offering emotional support
- E. Allowing the patient to vent frustration
Correct Answer: A,B,C
Rationale: Sitting upright, ambulating, and stimulating the nipples may encourage progression of labor.
What position will the nurse promote to encourage fetal rotation and pain relief?
- A. Prone with legs supported and give her a back massage
- B. Supine with legs bent at the knee
- C. Standing with support
- D. Sitting up and leaning forward on the overbed table
Correct Answer: D
Rationale: A position that favors fetal rotation and descent and is helpful for the woman with back labor is to sit or kneel leaning forward on a support.
What sign(s) of infection should the nurse assess for after an amniotomy?
- A. Oral temperature of 37?°C (99.8?°F)
- B. Increase of fetal heart rate (FHR) from 160 to 174 beats/minute
- C. Flecks of vernix in the amniotic fluid
- D. Low back pain
Correct Answer: B
Rationale: Increase in the FHR above 160 beats/minute frequently precedes a woman's temperature elevation, indicating possible infection.