Wednesday, January 15, 2014

NCLEX Question for 36 weeks Gestation Prenatal visits

Mrs. D. is 36 weeks gestation and the nurse is talking with her during a prenatal visit.  Which statement indicates that Mrs. D. understands the onset of labor?
 
a.    “I need to go to the hospital as soon as the contractions become painful.”
b.    “If I experience bright red vaginal bleeding I know that I am about to deliver.”
c.    “I need to go to the hospital when I am having regular contractions and bloody show.”
d.    “My labor will not start until after my membranes rupture and I gush fluid.”

Correct Answer C. Regular contractions coupled with bloody show suggest that cervical changes are occurring as a result of contractions.

 
Perception of pain with contractions is not a reliable indicator of true labor.
 
Bright red vaginal leading is a sign of a complication, not the onset of labor.
 
Rupture of membranes does not necessarily occur prior to the onset of labor.

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