A nurse is assessing a client for pre-term labor.

Which diagnostic test should the nurse anticipate being ordered for this client?

Ultrasound

Blood count

Urine culture

Amniocentesis

Answer and Explanation

The Correct Answer is A

Ultrasound.

An ultrasound can help determine the gestational age, fetal growth, placental location, and amniotic fluid volume of the fetus.

These factors can affect the risk of pre-term labor and delivery.

An ultrasound can also detect cervical changes that may indicate pre-term labor.

Choice B is wrong because a blood count is not specific for pre-term labor.

It may be done to check for anemia, infection, or other conditions that may affect the pregnancy, but it does not directly assess the risk of pre-term labor.

Choice C is wrong because a urine culture is not specific for pre-term labor.

It may be done to check for urinary tract infection, which can cause pre-term labor, but it does not directly assess the risk of pre-term labor.

Choice D is wrong because an amniocentesis is not usually done for pre-term labor.

It may be done to check for fetal lung maturity, chromosomal abnormalities, or infections, but it is an invasive procedure that carries some risks and complications.

It does not directly assess the risk of pre-term labor.

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Correct Answer is B

Explanation

Blood pressure of 150/90 mmHg.This is because terbutaline can causeelevated blood pressureas a side effect.

The nurse should report this finding to the provider as it may indicate hypertension or a hypertensive crisis.

Choice A is wrong because a heart rate of 110/min is not abnormal for a person who has received terbutaline.Terbutaline can causefast or pounding heartbeatsas a common side effect.

Choice C is wrong because a blood glucose of 90 mg/dL is within the normal range of 70-130 mg/dL before meals.Terbutaline can causetransient hyperglycemia(high blood sugar) as a serious side effect, but this is not the case here.

Choice D is wrong because a temperature of 37°C (98.6°F) is normal for a human being.Terbutaline does not cause fever or hypothermia as a side effect.

A. “I should avoid smoking and drinking alcohol during pregnancy.” B. “I should report any vaginal bleeding or fluid leakage to my provider.” C. “I should limit my physical activity and rest as much as possible.” D. “I should drink plenty of fluids and eat a balanced diet.”.

Correct Answer is C

Explanation

The client should not limit their physical activity and rest as much as possible, unless advised by their provider.Excessive rest and inactivity can increase the risk of blood clots and decrease blood circulation, which can affect the placenta and the fetus.The client should follow the recommended guidelines for physical activity during pregnancy, unless they have a medical condition that requires bed rest or reduced activity.

Choice A is wrong because smoking and drinking alcohol during pregnancy are known risk factors for preterm labor and birth.Smoking can reduce blood flow to the placenta and affect fetal growth and development, while alcohol can cause fetal alcohol spectrum disorders and other complications.

Choice B is wrong because reporting any vaginal bleeding or fluid leakage to the provider is important to prevent or treat preterm labor and birth.Bleeding can indicate placenta previa or placental abruption, which are serious conditions that can cause premature delivery or fetal distress.Fluid leakage can indicate rupture of membranes, which can increase the risk of infection and preterm labor.

Choice D is wrong because drinking plenty of fluids and eating a balanced diet are beneficial for the health of the mother and the fetus.Dehydration can cause uterine contractions and trigger preterm labor, while malnutrition can affect fetal growth and development.A balanced diet can also help prevent or manage conditions like diabetes, high blood pressure, and anemia, which are risk factors for preterm labor and birth.

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A nurse is assessing a client for pre-term labor. Which diagnostic test should the nurse anticipate being ordered for this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who is in pre-term labor and has received one dose of terbutaline subcutaneously. Which of the following findings should the nurse report to the provider?

Correct Answer is B

Explanation

A nurse is teaching a client who is pregnant about the risk factors for pre-term labor. Which of the following statements by the client indicates a need for further teaching?

Correct Answer is C

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:

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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?

A nurse is reviewing the ultrasound report of a client who is at 31 weeks of gestation and has pre-term labor. Which of the following findings indicates oligohydramnios?

A client in pre-term labor is being discharged from the hospital. What should the nurse include in the client's discharge plan?

A nurse is planning care for a pre-term infant who is in an incubator. Which of the following interventions should the nurse include to promote bonding between the infant and the parents?

A nurse is preparing to administer betamethasone (Celestone) to a client who is at 31 weeks of gestation and has pre-term labor. What is the purpose of this medication?

A nurse is assessing a client for pre-term labor.

Which diagnostic test should the nurse anticipate being ordered for this client?