With regard to the care management of preterm labor, nurses ...

[Charlie]

With regard to the care management of preterm labor, nurses should be aware that:
 
  a. Because all women must be considered at risk for preterm labor and prediction is so hit-and-miss, teaching pregnant women the symptoms probably causes more harm through false alarms.
  b. Braxton Hicks contractions often signal the onset of preterm labor.
  c. Because preterm labor is likely to be the start of an extended labor, a woman with symptoms can wait several hours before contacting the primary caregiver.
  d. The diagnosis of preterm labor is based on gestational age, uterine activity, and progressive cervical change.

Question 2

Alterations in hormonal balance and mechanical stretching are responsible for several changes in the integumentary system during pregnancy. Stretch marks often occur on the abdomen and breasts. These are referred to as
 
  a. Chloasma
  b. Linea nigra
  c. Striae gravidarum
  d. Angiomas

[wuly]

Answer to Question 1

D

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A It is essential that nurses teach women how to detect the early symptoms of pre-term labor.
B Braxton Hicks contractions resemble preterm labor contractions, but they are not true labor.
C Waiting too long to see a health care provider could result in not administering essential medications. Preterm labor is not necessarily long-term labor.
D Gestational age of 20 to 37 weeks, uterine contractions, and a cervix that is 80 effaced or dilated 2 cm indicates preterm labor.

Answer to Question 2

C
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A Chloasma is a facial melasma also known as the mask of pregnancy. This
condition is manifested by a blotchy, hyperpigmentation of the skin over the
cheeks, nose and forehead especially in dark complexioned women.
B Linea nigra is a pigmented line extending from the symphysis pubis to the top of
the fundus in the midline.
C Striae gravidarum or stretch marks appear in 50 to 90 of pregnant women
during the second half of pregnancy. They most often occur on the breasts and
abdomen. This integumentary alteration is the result of separation within the
underlying connective (collagen) tissue.
D Angiomas and other changes also may appear.