VATI Maternal Newborn Pre-Assessment || With 100% verified answers.

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? A. Rupture of the membranes B. Changes in the cervix C. Station of the presenting part D. Pattern of contractions correct answers B. Changes in the cervix Assessment of progressive changes in the effacement and dilation of the cervix is the most accurate indication of true labor. A nurse on a postpartum unit is giving discharge instructions to a client whose newborn had a circumcision with the Plastibell technique. Which of the following client statements indicates understanding of circumcision care? (Select all that apply.) A. "I'll expect the plastic ring to fall off by itself within a week." B. "I'll apply petroleum jelly to his penis with diaper changes." C. "I'll wash his penis with warm water and mild soap each day." D. "I'll call the doctor if I see any bleeding." E. "I'll make sure his diaper is loose in the front." correct answers A. "I'll expect the plastic ring to fall off by itself within a week." D. "I'll call the doctor if I see any bleeding." E. "I'll make sure his diaper is loose in the front." A nurse is caring for a client who is in the active phase of the first stage of labor. When monitoring the uterine contractions, which of the following findings should the nurse report to the provider? A. Contractions lasting longer than 90 seconds B. Contractions occurring every 3 to 5 min C. Contractions are strong in intensity D. Client reports feeling contractions in lower back correct answers A. Contractions lasting longer than 90 seconds A pattern of prolonged uterine contractions lasting more than 90 seconds is an indication that there is inadequate uterine relaxation and should be reported to the provider. In the active phase of the first stage of labor, contractions are more regular and occur at 3 to 5 min intervals. This is an expected finding. This is an expected finding in a client who is moving from the active to transition phase of the first stage of labor. It does not need to be reported to the provider. This is an expected finding in a client who is in true labor. As the labor progresses, the contractions radiate to the abdomen.