Practice Question
A nurse is caring for a client who is a primigravida. at term. and having contractions but is stating that she is "not really sure if she is in labor or not." Which of the following should the nurse recognize as a sign of true labor?
Answer Choices:
Correct Answer:
Changes in the cervix
Rationale:
🔵 Cervical changes, including dilation and effacement, are definitive signs of true labor.
🔵 Unlike false labor, which may involve irregular contractions, true labor leads to measurable cervical progression.
🔵 This physical change occurs due to consistent, rhythmic uterine contractions that promote fetal descent and birth.
🔵 Assessment through sterile vaginal examination reveals these changes and helps determine labor stage.
🔵 Nurses use cervical dilation and effacement measurements to decide appropriate labor interventions.
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This question is from Custom: NUR 2463 Exam #2 which contains 20 questions.
More Questions from This Exam
A nurse is assessing a client who received magnesium sulfate to treat preterm labor. Which of the following clinical findings should the nurse identify as an indication of toxicity of magnesium sulfate therapy and report to the provider?
Answer Choices:
A. Drowsiness
B. Nausea
C. Respiratory depression
D. Facial flushing
A nurse is admitting a client who is at 37 weeks of gestation and has severe gestational hypertension. Which of the following actions should the nurse expect to implement? (Select all that apply.)
Answer Choices:
A. Provide a dark, quiet environment.
B. Administer magnesium sulfate IV.
C. Assess respiratory status every 4 hr.
D. Evaluate neurologic status every 8 hr.
E. Ensure that calcium gluconate is readily available.
A nurse in a provider's office is caring for a client who is at 34 weeks of gestation and at risk for placental abruption. The nurse should recognize that which of the following is the most common risk factor for abruption?
Answer Choices:
A. Cocaine use.
B. Hypertension.
C. Cigarette smoking.
D. Blunt force trauma.
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN Custom Exam(s)
- Answer Choices: 4
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