Pre-Test 1 and 2: Introduction to Special Questions Based on Official NCLEX-RN[®]
59. A 22-year-old client, who is gravida 1, para 0, is attending a routine 38-week prenatal visit. A physician gives the client instructions about when to come to the hospital for evaluation of onset of labor. A nurse evaluates that the client has understood the instructions when she states:
. "I should go to the hospital when my contractions are less than 2 minutes apart."
. "I should go to the hospital when I have back pain and an increased vaginal discharge."
. "I should go to the hospital when I have abdominal pain and painful urination."
. "I should go to the hospital when my contractions are 5 minutes apart for an hour."
Test-Taking Tip
Eliminate Answer 3 because it includes painful urination, which is never a sign of normal labor. The other two options are not signs of typical labor.
Content Area: Maternity, Antepartum; Integrated Process: Nursing Process, Evaluation; Cognitive Level: Analysis; Client Need/Subneed: Health Promotion and Maintenance/Ante/Intra/Postpartum and Newborn Care
Pre-Test 1 and 2: Introduction to Special Questions Based on Official NCLEX-RN[®]
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Answer 1 is incorrect because contractions that are less than 2 minutes apart are uterine tetany, not a sign of normal labor. Answer 2 is incorrect because back pain and increased vaginal discharge are not the signs of normal onset of labor. Answer 3 is incorrect because frequent urination is a sign of urinary tract infection, not a sign of the normal onset of labor. Answer 4 is correct because contractions that are 5 minutes apart and regular for an hour are the signs of normal onset of labor.