A client at 28 weeks of gestation presents with bleeding from the vagina.

Which assessment finding should the nurse prioritize?

Regular uterine contractions occurring every 15 minutes

Low back pain and pelvic pressure

Change in vaginal discharge

Rupture of membranes

Answer and Explanation

The Correct Answer is A

Regular uterine contractions occurring every 15 minutes.

This finding suggests that the client may have placental abruption, which is a serious complication that requires immediate medical attention. Placental abruption is the premature separation of the placenta from the uterine wall, which can cause heavy bleeding, pain, and fetal distress.

Choice B is wrong because low back pain and pelvic pressure are common symptoms of preterm labor, which is not as urgent as placental abruption.

Choice C is wrong because a change in vaginal discharge is not a specific sign of any complication and may be normal in pregnancy.

Choice D is wrong because rupture of membranes is not a priority finding in this case, unless it is associated with infection or cord prolapse.

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Correct Answer is A

Explanation

Betamethasone is a corticosteroid that is given to pregnant women who are at risk of preterm delivery to enhance fetal lung maturity and prevent respiratory distress syndrome.It is usually given in two doses, 24 hours apart, and takes effect within 24 hours of administration.

Choice B.Magnesium sulfate is wrong because it is used to prevent seizures in women with severe preeclampsia or eclampsia, not to prevent respiratory distress syndrome.

Choice C.Nifedipine is wrong because it is a calcium channel blocker that is used to inhibit uterine contractions and prolong pregnancy in women with preterm labor, not to prevent respiratory distress syndrome.

Choice D.Indomethacin is wrong because it is a nonsteroidal anti-inflammatory drug that is used to inhibit prostaglandin synthesis and reduce uterine activity in women with preterm labor, not to prevent respiratory distress syndrome.However, it can also cause premature closure of the ductus arteriosus in the fetus and should be avoided after 32 weeks of gestation.

Normal ranges for gestational age are 37 to 42 weeks.

Preterm labor is defined as regular uterine contractions with cervical changes.

A. Asthma B. Diabetes mellitus C. Hypertension D. Cardiac disease

Correct Answer is D

Explanation

Nifedipine is a calcium channel blocker that is used to relax uterine contractions and postpone preterm labor.However, it can also lower blood pressure and cause side effects such as headache, dizziness, flushing, and palpitations.Therefore, it should be avoided in clients who have cardiac disease or other conditions that affect the heart function.

Choice A is wrong because asthma is not a contraindication for nifedipine.Nifedipine does not affect the airways or cause bronchospasm.

Choice B is wrong because diabetes mellitus is not a contraindication for nifedipine.Nifedipine does not affect blood glucose levels or insulin secretion.

Choice C is wrong because hypertension is not a contraindication for nifedipine.In fact, nifedipine can be used to treat high blood pressure as well as preterm labor.However, blood pressure should be monitored closely during nifedipine therapy to avoid hypotension.

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A client at 28 weeks of gestation presents with bleeding from the vagina. Which assessment finding should the nurse prioritize?

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Naxlex Comprehensive Predictor Exams

A nurse is admitting a client who is at 30 weeks of gestation and has pre-term labor. Which of the following medications should the nurse anticipate administering to prevent fetal respiratory distress syndrome?

Correct Answer is A

Explanation

A nurse is preparing to administer nifedipine to a client who is in pre-term labor. The nurse should withhold the medication and notify the provider if the client has which of the following conditions?

Correct Answer is D

Explanation

A nurse is administering betamethasone to a client who is in pre-term labor at 28 weeks of gestation. The nurse should explain that the purpose of this medication is to:

A nurse is caring for a pre-term newborn who has a patent ductus arteriosus (PDA). Which of the following medications should the nurse expect to administer to close the ductus arteriosus?

A nurse is educating a client who is at risk for pre-term labor about measures to prevent it from occurring. Which of the following instructions should the nurse include?

A nurse is reviewing the history of a client who is at 28 weeks of gestation and has pre-term labor. Which of the following factors increases the risk of pre-term labor?

A nurse is teaching a client who is at 27 weeks of gestation and has pre-term labor about the signs and symptoms of true labor versus false labor. Which of the following information should the nurse include in the teaching?

A nurse is administering betamethasone to a client who is at risk for pre-term labor at 30 weeks of gestation. Which of the following outcomes should the nurse monitor for in the newborn?

A nurse is teaching a client who is at 25 weeks of gestation and has pre-term labor about the purpose and side effects of magnesium sulfate therapy. Which of the following statements by the client indicates an understanding of the teaching?

A nurse is providing education to a client and her partner about pre-term labor. Which intervention should the nurse include in the teaching plan to address possible outcomes and complications?

A client at 28 weeks of gestation presents with bleeding from the vagina.

Which assessment finding should the nurse prioritize?