A client treated for preterm labor is to be discharged to home. Which instruction should a nurse include in this client’s discharge plan? The client should:.
Document urine output hourly.
Avoid sexual intercourse.
Maintain a darkened, quiet environment.
Eat small, frequent meals.
The Correct Answer is B
The correct answer is choice B. The client should avoid sexual intercourse. Sexual intercourse may stimulate uterine contractions and increase the risk of preterm labor. The client should also avoid activities that may cause dehydration, infection, or stress.
Choice A is wrong because documenting urine output hourly is not necessary for a client with preterm labor who is discharged home. Urine output may be affected by hydration status, kidney function, or medication use, but it is not a reliable indicator of preterm labor.
Choice C is wrong because maintaining a darkened, quiet environment is not required for a client with preterm labor who is discharged home. The client may benefit from rest and relaxation, but there is no evidence that light or noise affects preterm labor.
Choice D is wrong because eating small, frequent meals is not specific to a client with preterm labor who is discharged home. Eating small, frequent meals may help with nausea, heartburn, or blood sugar control, but it does not prevent preterm labor.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
The correct answer is choice B. She works as a part-time oncology nurse.This is because oncology nurses are exposed toteratogenic agents, which are substances that can cause abnormalities in an exposed fetus.Teratogenic agents can cross the placenta and alter fetal morphology or function.Examples of teratogenic agents are lead, methyl mercury, polychlorinated biphenyls, lithium, vitamin K antagonists, tobacco, rubella, cytomegalovirus, ionizing agents, hyperthermia, diabetes, and some drugs.
Choice A is wrong because living with two dogs at home does not pose a high risk for exposure to teratogenic agents.Dogs can be beneficial for pregnant women as they provide companionship and exercise.
Choice C is wrong because being a lacto-ova vegetarian does not pose a high risk for exposure to teratogenic agents.Lacto-ova vegetarians can get adequate nutrition from plant-based foods, dairy products, and eggs.
Choice D is wrong because commuting to work on a train does not pose a high risk for exposure to teratogenic agents.Trains are a safe and convenient mode of transportation for pregnant women.
Correct Answer is D
Explanation
The correct answer is choice D. Gestational age of 35-38 weeks.
This is because preterm babies are more likely to develop jaundice due to their immature liver and increased breakdown of red blood cells.Babies born between 35 and 38 weeks are considered late preterm and have a higher risk of jaundice than full-term babies.
Choice A is wrong because African American ethnicity is not a risk factor for jaundice.In fact, Asian, European, or native American ethnicity are more associated with jaundice.
Choice B is wrong because meconium-stained amniotic fluid is not a risk factor for jaundice.
Meconium is the first stool of the baby and it may indicate fetal distress, but it does not affect the bilirubin level.
Choice C is wrong because bottle feeding is not a risk factor for jaundice.In fact, breastfeeding is more associated with jaundice due to dehydration and poor caloric intake.
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