A client at 28 weeks gestation is in preterm labor and it is not expected that the fetus will survive after delivery. What should be the nurse’s initial action?
Contact spiritual support services.
Provide information about an autopsy.
Discuss neonatal resuscitation options.
Get in touch with the organ donation organization.
The Correct Answer is A
Choice A rationale
In a situation where a client at 28 weeks gestation is in preterm labor and it is not expected that the fetus will survive after delivery, the nurse’s initial action should be to contact spiritual support services. This can provide much-needed emotional and spiritual support to the client during this difficult time.
Choice B rationale
While providing information about an autopsy might be necessary at some point, it should not be the initial action. The first response should be focused on providing emotional support.
Choice C rationale
Discussing neonatal resuscitation options might not be appropriate in this scenario, especially if it’s not expected that the fetus will survive. The initial focus should be on providing emotional support.
Choice D rationale
Contacting the organ donation organization is not the initial action to take in this situation. The first response should be providing emotional and spiritual support to the client.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
While monitoring the variability of the fetal heart rate is important during labor, it is not the most crucial assessment after administering epidural anesthesia15.
Choice B rationale
Assessing the level of pain sensation is important to ensure the effectiveness of the epidural anesthesia. However, it is not the most crucial assessment15.
Choice C rationale
Checking the maternal blood pressure is the most crucial assessment after administering epidural anesthesia15. Epidural anesthesia can cause a drop in blood pressure, which can lead to complications for both the mother and the baby.
Choice D rationale
Determining the station of the presenting part is important during labor, but it is not the most crucial assessment after administering epidural anesthesia15.
Correct Answer is ["50"]
Explanation
To calculate the rate at which the infusion pump should be set, we need to determine how many mL of the solution contain 2 grams of magnesium sulfate.
Step 1: First, we find out how many grams of magnesium sulfate are in 1 mL of the solution. The IV bag contains 20 grams of magnesium sulfate in 500 mL, so we divide 20 grams by 500 mL to get the amount of magnesium sulfate per mL: 20 grams ÷ 500 mL = 0.04 grams/mL
Step 2: Next, we find out how many mL contain 2 grams of magnesium sulfate.
We divide 2 grams by the amount of magnesium sulfate per mL: 2 grams ÷ 0.04 grams/mL = 50 mL Therefore, the nurse should set the infusion pump to deliver 50 mL per hour.
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