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A 32 year-old G3P2 client is returning for her prenatal visit at 28 weeks.Her prenatal labs on record thus far are as follows: Type & Rh =A negative.
Antibody screen normal.
RPR = negative.
HIV = negative.
Rubella titer 1:16. Cervical smears negative for Gonorrhea & Chlamydia.
Hemoglobin/hematocrit = 11.0 mg/dl and 35%. Gestational diabetes glucose challenge test (GCT) Screen 26 wks = 120.
Urine analysis positive for leukocytes.
Today her plan of care should include which of the following: (Select all that apply)

Administer Rubella vaccine IM.

Instruct client on signs and symptoms of preterm labor.

Administer Rhogam IM.

Obtain a clean catch urine culture.

Order a 3-hour diagnostic glucose tolerance test.

Administer a blood transfusion.

Answer and Explanation

Correct Answer : B,C,D,E

Choice A rationale

Rubella vaccination is contraindicated during pregnancy due to the risk of congenital rubella syndrome in the fetus. It should be administered postpartum if the client is non-immune.

Choice B rationale

Preterm labor is a concern at 28 weeks' gestation. Educating the client on signs and symptoms can help in early detection and management, potentially improving outcomes for both mother and baby.

Choice C rationale

Rh-negative mothers with a negative antibody screen should receive Rhogam at 28 weeks to prevent Rh sensitization. This is crucial to avoid hemolytic disease of the newborn in future pregnancies.

Choice D rationale

A positive urine analysis for leukocytes indicates a possible urinary tract infection. A clean catch urine culture is needed to identify the causative organism and guide appropriate antibiotic therapy.

Choice E rationale

The glucose challenge test result of 120 at 26 weeks is within normal limits, but a 3-hour diagnostic glucose tolerance test may be ordered if there's a high index of suspicion for gestational diabetes or other risk factors.

Choice F rationale

A blood transfusion is not indicated as the hemoglobin/hematocrit levels (11.0 mg/dl and 35%) are within acceptable limits for pregnancy.

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Free Nursing Study Resources

Correct Answer is ["1.7"]

Explanation

Step 1: 2 mg/kg × 3400 g × (1 kg ÷ 1000 g) = 0.68 mg

Step 2: 68 mg × (1 mL ÷ 0.4 mg) = 1.7 mL.

The nurse will administer 1.7 mL.

A. Avoid foods with strong aromas. B. Eat crackers or plain toast in the morning. C. Drink a glass of orange juice before getting out of bed. D. Eat a high carbohydrate snack before going to sleep.

Correct Answer is C

Explanation

Choice A rationale

Avoiding foods with strong aromas can help reduce nausea, as certain smells can trigger the sensation. This strategy is usually effective because olfactory stimuli can have a significant impact on nausea and vomiting during pregnancy.

Choice B rationale

Eating crackers or plain toast in the morning can help manage nausea by stabilizing blood sugar levels before getting out of bed. This simple carbohydrate source can provide quick energy and prevent morning sickness.

Choice C rationale

Drinking a glass of orange juice before getting out of bed is not recommended, as the acidity of the juice can irritate the stomach lining and exacerbate nausea. It is better to have bland, non-acidic foods first.

Choice D rationale

Eating a high-carbohydrate snack before going to sleep can help maintain stable blood sugar levels overnight, potentially reducing morning nausea. Carbohydrates are effective in providing sustained energy and preventing dips in glucose that can trigger nausea.

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Naxlex Comprehensive Predictor Exams

A newborn weighs 3400 grams. The healthcare provider has ordered 0.2 mg/kg of atropine sulfate subcutaneously. Based on the label below, how much will the nurse administer in mL? (Write in your answer).

Correct Answer is ["1.7"]

Explanation

A client is 10 weeks pregnant and is experiencing nausea each day.Which strategy would the nurse NOT recommend to the client?

Correct Answer is C

Explanation

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