A 26 week G3 P2 has premature rupture of membranes. Which of the following orders would the nurse question?
Temperature q4 hours
Betamethasone 12.5mg q 24 hours × 2.
Apply external fetal monitor to assess contractions and fetal well-being.
Vaginal exam q 2 hours for labor progress.
The Correct Answer is D
A. Regular temperature checks monitor for infection.
B. Betamethasone promotes fetal lung maturity.
C. Fetal monitoring is standard for assessing wellbeing.
D. Frequent vaginal exams increase infection risk and should be minimized
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A. Ensuring a calm environment by minimizing excessive stimuli is important for the safety and well-being of the patient.
B. Asking about drug use is essential to understand potential risks and provide appropriate care.
C. Administering sedatives to a combative patient without assessing the situation further could be dangerous. It could harm the patient and fetus, especially if drug use or psychological disorders are suspected.
D. Performing a vaginal exam is necessary to assess bleeding and determine if there are any signs of preterm labor or other complications.
Correct Answer is B
Explanation
A. A blood pressure of 94/60 is low but not typically a contraindication for Terbutaline administration.
B. A pulse of 132 is high and could be a sign of tachycardia, which is a known side effect of Terbutaline, potentially making the use of this medication unsafe.
C. Uterine contractions (UCs) every 10 minutes do not indicate any immediate concern or contraindication for Terbutaline.
D. A category 1 FHR is reassuring and would not contraindicate the use of Terbutaline.
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