The doctor writes an order for Terbutaline to be given 5Q. Which assessment finding will cause the nurse to question this order?
BP 94/60
P 132
UCs are q 10 minutes
FHR is category 1
The Correct Answer is B
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["1"]
Explanation
The fetal heart rate is within normal ranges between 110 to 160 beats/minute. It also shows moderate variability with the amplitude ranging between 6 to 25 bmp. Both late and variable decelerations are absent. Therefore, based on the above findings this is a category 1 tracing.
Correct Answer is C, A, D, B
Explanation
Drying the baby is the most important first step to prevent heat loss and initiate thermoregulation. Suctioning is needed if there are signs of airway obstruction but is secondary to ensuring the baby’s warmth. Applying identification bracelets is necessary to ensure proper identification but is not as critical as ensuring the baby is warm and breathing. Teaching the mother cord care can be done after addressing more immediate concerns such as warmth and identification.
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