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:
✍️ True labor is primarily indicated by progressive cervical changes, including effacement (thinning) and dilation.
✍️ While contraction patterns and rupture of membranes may occur, they do not definitively confirm true labor.
✍️ The station of the presenting part refers to fetal descent, which may not be evident at the start of true labor.
✍️ Assessing cervical changes provides the best confirmation of active labor progression.
✍️ Recognizing this helps nurses accurately determine labor status and plan care.
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This question is from RN ATI Maternal Newborn Care~Nurs140 which contains 39 questions.
More Questions from This Exam
A nurse is caring for a client who is in labor and has an epidural anesthesia block. The clients blood pressure is 80/40 mm Hg and the fetal heart rate is 140/min. Which of the following is the priority nursing action?
Answer Choices:
A. Monitor vital signs every 5 min
B. Elevate the clients’ legs
C. Notify the provider
D. Place the client in a lateral position
A nurse is caring for a client who is in the first stage of labor, undergoing external fetal monitoring, and receiving IV fluid. The nurse observes variable decelerations in the fetal heart rate on the monitor strip. Which of the following is a correct interpretation of this finding?
Answer Choices:
A. Variable decelerations are related to fetal head compression
B. Variable decelerations are due to umbilical cord compression
C. Variable decelerations are caused by uteroplacental insufficiency
D. Variable decelerations are a result of the administration of narcotic analgesics
A nurse is caring for a client who is postoperative following a tracheostomy, and has copious and tenacious secretions. Which of the following is an acceptable method for the nurse to use to thin this client's secretions?
Answer Choices:
A. Provide humidified oxygen.
B. Perform chest physiotherapy prior to suctioning.
C. Prelubricate the suction catheter tip with sterile saline when suctioning the airway.
D. Hyperventilate the client with 100% oxygen before suctioning the airway.
A nurse in a prenatal clinic is caring for a client. Using Leopold maneuvers, the nurse palpates a round, firm, movable part in the fundus of the uterus and a long, smooth surface on the client's right side. In which abdominal quadrant should the nurse expect to auscultate fetal heart tones?
Answer Choices:
A. Right upper
B. Left upper
C. Left lower
D. Right lower
A nurse is caring for a client who is at 39 weeks of gestation and is in active labor. The nurse locates the fetal heart tones above the client's umbilicus at midline. The nurse should suspect that the fetus is in which of the followingpositions?
Answer Choices:
A. Frank breech
B. Cephalic
C. Transverse
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI Maternal & Newborn Care
- Answer Choices: 4