A nurse is caring for a 27-year-old female client at 32 weeks geastation in the labor and delivery unit. The client has been admitted for evaluation of a suspected infection during labor.
For each potential provider prescription, click to specify whether the prescription is anticipated or contraindicated for the client.
There must be at least 1 selection in every row. There does not need to be a selection in every column.
Betamethasone 12 mg IM now and repeat in 24 hr
Position the client supine
Terbutaline 0.25 mg Subcutaneous now
Collect a urine sample
The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"A"}}
Betamethasone 12 mg IM now and repeat in 24 hr:
Anticipated: Betamethasone is a corticosteroid given to pregnant women at risk of preterm labor (before 37 weeks gestation) to help accelerate fetal lung maturity. Since the client is at 32 weeks gestation and suspected of having an infection, administering betamethasone is appropriate to prepare the fetus for potential early delivery.
Position the client supine:
Contraindicated: Positioning a laboring client supine can reduce venous return and cardiac output, potentially compromising uterine perfusion and fetal oxygenation. It can also increase the risk of supine hypotensive syndrome. Therefore, it is contraindicated, and alternative positions such as the left lateral position are recommended.
Terbutaline 0.25 mg Subcutaneous now:
Anticipated: Terbutaline is a tocolytic agent used to delay preterm labor by relaxing the uterus. Given that the client is at 32 weeks gestation and may be experiencing labor due to infection, administering terbutaline can help delay labor while addressing the infection and improving fetal outcomes.
Collect a urine sample:
Anticipated: Collecting a urine sample is a standard procedure to evaluate the client's overall health status and identify any potential infections. It can provide valuable information for diagnosing and managing the suspected infection during labor.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Recognizing hunger cues such as the baby sucking on their hands is essential for timely feeding and ensuring the baby's nutritional needs are met. Early identification of hunger cues can prevent crying and help establish a healthy feeding routine.
Choice B rationale
Feeding the baby six times a day may not be sufficient for a newborn, who typically needs more frequent feedings. Breastfeeding should be on-demand, usually 8-12 times per day.
Choice C rationale
Limiting feeding time to 10 minutes on each breast may not allow the baby to get the necessary nutrients and hindmilk, which is richer in fat and calories. Babies should be allowed to feed until they are full.
Choice D rationale
Waking the baby every 6 hours at night for feedings might not be adequate for a newborn, who usually needs more frequent feedings, including during the night, to maintain proper nutrition and growth.
Correct Answer is D
Explanation
Choice A rationale
Ensuring only the nipple is in the baby's mouth can lead to poor latch and nipple pain. A proper latch includes most of the areola.
Choice B rationale
Applying vitamin E oil is not recommended as it can cause irritation or allergic reactions and has not been proven to prevent nipple soreness.
Choice C rationale
Nursing for 5 to 10 minutes on each breast might not be sufficient to ensure the baby gets enough hindmilk, which is richer in nutrients.
Choice D rationale
Laying the baby on a pillow at the level of the breast helps ensure a good latch and proper positioning, which are key to successful breastfeeding.
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