Nursing practice questions with comprehensive rationales
NurseDive Free Nursing Practice Question
The nurse determines the session is successful after the clients correctly choose which signs as an indication of starting labor? Select all that apply.
A. Constipation.
Constipation is not a sign of labor. It is more commonly associated with pregnancy rather than the onset of labor.
B. Weight gain.
Weight gain is not a sign of labor. In fact, weight gain often stops as labor approaches.
C. Bloody show.
Bloody show is a sign of labor. It is the discharge of the mucus plug that seals the cervix during pregnancy.
D. Lightening.
Lightening, or the baby dropping into the pelvis, is a sign of labor.
E. Backache.
Backache can be a sign of labor, as the muscles and joints stretch and shift in preparation for childbirth.
This question is an excerpt from Nurse Dive's nursing test bank - ATI RN Custom 2023 Fall NPRO 1100 Proctored Exam 3. Take the full exam now
Full Explanation
The correct answers are choices C, D, and E.
Choice A rationale:
Constipation is not a sign of labor. It is more commonly associated with pregnancy rather than the onset of labor.
Choice B rationale:
Weight gain is not a sign of labor. In fact, weight gain often stops as labor approaches.
Choice C rationale:
Bloody show is a sign of labor. It is the discharge of the mucus plug that seals the cervix during pregnancy.
Choice D rationale:
Lightening, or the baby dropping into the pelvis, is a sign of labor.
Choice E rationale:
Backache can be a sign of labor, as the muscles and joints stretch and shift in preparation for childbirth.
Similar Questions
A client in the third stage of labor has experienced placental separation and expulsion.
Why is it necessary for a nurse to massage the woman's uterus briefly until it is firm?.
A. To increase the boggy nature of the uterus.
Massaging the uterus does not increase its boggy nature, but rather helps it contract and become firm, reducing the risk of postpartum hemorrhage.
B. To constrict the uterine blood vessels.
Massaging the uterus helps constrict the uterine blood vessels, which reduces bleeding after the placenta has been expelled.
C. To lessen the chances of conducting an episiotomy.
Massaging the uterus has no effect on the likelihood of conducting an episiotomy, which is a surgical incision made during childbirth.
D. To remove pieces left attached to the uterine wall.
Massaging the uterus does not remove pieces left attached to the uterine wall. This would require a manual or surgical procedure.
Full Explanation
The correct answer is choice B.
Choice A rationale:
Massaging the uterus does not increase its boggy nature, but rather helps it contract and become firm, reducing the risk of postpartum hemorrhage.
Choice B rationale:
Massaging the uterus helps constrict the uterine blood vessels, which reduces bleeding after the placenta has been expelled.
Choice C rationale:
Massaging the uterus has no effect on the likelihood of conducting an episiotomy, which is a surgical incision made during childbirth.
Choice D rationale:
Massaging the uterus does not remove pieces left attached to the uterine wall. This would require a manual or surgical procedure.
A nurse is completing the admission assessment of a client who is at 38 weeks of gestation and has severe preeclampsia.
Which of the following is an expected finding?.
A. Report of headache.
A headache is a common symptom of severe preeclampsia due to increased blood pressure in the brain.
B. Absence of clonus.
The presence, not absence, of clonus (a series of involuntary muscular contractions and relaxations) is a sign of severe preeclampsia.
C. Polyuria.
Oliguria, not polyuria, is a symptom of severe preeclampsia due to decreased renal perfusion.
D. Tachycardia.
Tachycardia is not typically associated with preeclampsia. It could be a sign of other complications.
Full Explanation
The correct answer is choice A.
Choice A rationale:
A headache is a common symptom of severe preeclampsia due to increased blood pressure in the brain.
Choice B rationale:
The presence, not absence, of clonus (a series of involuntary muscular contractions and relaxations) is a sign of severe preeclampsia.
Choice C rationale:
Oliguria, not polyuria, is a symptom of severe preeclampsia due to decreased renal perfusion.
Choice D rationale:
Tachycardia is not typically associated with preeclampsia. It could be a sign of other complications.
A nurse is teaching a newborn's parent to care for the umbilical cord stump.
Which of the following instructions should the nurse include?.
A. Wash the cord daily with mild soap and water.
Washing the cord daily with mild soap and water is not recommended as it can delay healing and increase the risk of infection.
B. Apply petroleum jelly to the cord stump.
Applying petroleum jelly to the cord stump is not recommended as it can create a moist environment that promotes bacterial growth.
C. Cover the cord with the diaper.
The diaper should be folded down to keep the cord stump dry and exposed to air, which promotes healing.
D. Give a sponge bath until the cord stump falls off.
Giving a sponge bath until the cord stump falls off is recommended to keep the area dry and prevent infection.
Full Explanation
The correct answer is choice D.
Choice A rationale:
Washing the cord daily with mild soap and water is not recommended as it can delay healing and increase the risk of infection.
Choice B rationale:
Applying petroleum jelly to the cord stump is not recommended as it can create a moist environment that promotes bacterial growth.
Choice C rationale:
The diaper should be folded down to keep the cord stump dry and exposed to air, which promotes healing.
Choice D rationale:
Giving a sponge bath until the cord stump falls off is recommended to keep the area dry and prevent infection.