A client is scheduled for an external version.The nurse would expect to prepare which of the following medications to be administered prior to the procedure?

Oxytocin.

Methylergonovine.

Betamethasone.

Terbutaline.

Answer and Explanation

The Correct Answer is D

Choice A rationale

Oxytocin is used to induce or augment labor, not typically used before an external version, which is a procedure to turn a breech baby to a head-down position.

Choice B rationale

Methylergonovine is used to prevent or control postpartum hemorrhage by inducing strong uterine contractions, not indicated before an external version.

Choice C rationale

Betamethasone is a corticosteroid used to accelerate fetal lung maturity in preterm labor, not required for an external version.

Choice D rationale

Terbutaline is a tocolytic agent used to relax the uterus, making it easier to manipulate the fetus during the external version procedure. .

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Correct Answer is ["A","B","D","E"]

Explanation

Choice A rationale

Impaired intellectual development in children born to mothers with diabetes can occur due to fluctuating blood glucose levels, which can affect brain development.

Choice B rationale

Development of metabolic syndrome is more likely in children born to mothers with diabetes due to genetic predispositions and prenatal exposure to hyperglycemia.

Choice C rationale

Shoulder injury related to birth size, although a possible immediate complication, is not typically considered a long-term effect of maternal diabetes.

Choice D rationale

Changes in genetic expression can occur due to epigenetic modifications from exposure to maternal diabetes, potentially leading to various health issues later in life.

Choice E rationale

Increased risk for chronic illnesses, such as type 2 diabetes and cardiovascular diseases, is higher in children born to mothers with diabetes, due to genetic and environmental factors.

A. Prolonged labor. B. Prolapsed cord. C. Abruptio placentae. D. Retained placenta.

Correct Answer is C

Explanation

Choice A rationale

Prolonged labor is not directly linked to drug use and does not present as an immediate complication.

Choice B rationale

Prolapsed cord is not associated with substance abuse and lacks direct connection to this scenario.

Choice C rationale

Cocaine use heightens the risk of abruptio placentae, a serious condition where the placenta detaches prematurely.

Choice D rationale

Retained placenta is a concern but less likely than abruptio placentae in the context of cocaine use.

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A client is scheduled for an external version.The nurse would expect to prepare which of the following medications to be administered prior to the procedure?

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Naxlex Comprehensive Predictor Exams

A patient with pregestational diabetes mellitus delivers a neonate who is diagnosed with macrosomia.The nurse is aware that the neonate is at risk for additional long-term conditions related to maternal diabetes mellitus.Which long-term effects may occur? Select all that apply.

Correct Answer is ["A","B","D","E"]

Explanation

A delirious client is admitted to the hospital in labor.She has had no prenatal care and vials of crack cocaine are found in her pockets.The nurse monitors this client carefully for which of the following intrapartum complications?

Correct Answer is C

Explanation

The nurse is assisting the primary care provider (PCP) with the third stage of a vaginal delivery.The patient is multiparous, experienced a precipitous birth, and has a history of hypertension.Which medical prescription does the nurse anticipate for this patient?

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Included in the definition of tachysystole is:

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A baby is grunting in the neonatal nursery.Which of the following actions by the nurse is appropriate?

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