A neonatologist prescribes gentamicin for a 2-day-old, septic preterm infant who weighs 2800 grams.

The dosage of gentamicin for babies under 1 week of age is 2.5 mg/kg every 24 hours.

The nurse calculates the safe daily dosage of this medication as?

Answer and Explanation

The Correct Answer is ["7"]

Step 1 is 2800 grams × 2.5 mg/kg. 2800 grams × 2.5 mg/kg = 7000 mg/kg.

Step 2 is 7000 mg ÷ (1000 mg/kg). 7000 mg ÷ (1000 mg/kg) = 7 mg.

Final calculated answer: 7 mg.

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Correct Answer is D

Explanation

Choice A rationale

Administering oxytocin is not appropriate at this stage since the fetal head at a +5 station indicates imminent delivery.

Choice B rationale

Applying fundal pressure is not recommended and can cause complications such as uterine rupture or maternal injury.

Choice C rationale

Suctioning the mouth of the infant at the perineum should be done only after the head is delivered to clear airway obstructions.

Choice D rationale

Observing for the presence of a nuchal cord is crucial as it can cause complications during delivery, requiring immediate attention.

A. A client who has a post-term pregnancy at 42 weeks of gestation. B. A client who is dilated to 7 cm and experiencing contractions every 3-4 minutes. C. A client having Braxton-Hicks contractions at 36 weeks of gestation. D. A client who is experiencing preterm labor at 32 weeks of gestation.

Correct Answer is D

Explanation

Choice A rationale

A post-term pregnancy at 42 weeks of gestation does not require tocolytic therapy. Tocolytics are used to stop preterm labor, not to manage full-term or post-term pregnancies.

Choice B rationale

A client who is dilated to 7 cm and experiencing contractions every 3-4 minutes is in active labor, and tocolytic therapy is not appropriate in this advanced stage of labor.

Choice C rationale

Braxton-Hicks contractions at 36 weeks of gestation are typically harmless and do not require tocolytic therapy. These contractions are usually irregular and do not lead to labor.

Choice D rationale

A client who is experiencing preterm labor at 32 weeks of gestation is an appropriate candidate for tocolytic therapy. The goal is to delay labor to allow for further fetal development and possibly administer corticosteroids to enhance fetal lung maturity.

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A neonatologist prescribes gentamicin for a 2-day-old, septic preterm infant who weighs 2800 grams. The dosage of gentamicin for babies under 1 week of age is 2.5 mg/kg every 24 hours. The nurse calculates the safe daily dosage of this medication as?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is gravida 3, para 2, and is in active labor.The fetal head is at 5+ station after a vaginal examination.Which of the following actions should the nurse take?

Correct Answer is D

Explanation

A nurse is caring for several clients.The nurse should recognize that it is appropriate to administer tocolytic therapy to which of the following clients?

Correct Answer is D

Explanation

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A neonatologist prescribes gentamicin for a 2-day-old, septic preterm infant who weighs 2800 grams.

The dosage of gentamicin for babies under 1 week of age is 2.5 mg/kg every 24 hours.

The nurse calculates the safe daily dosage of this medication as?