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A nurse is caring for a client who is in preterm labor at 32 weeks of gestation. The client asks the nurse. "Will my baby be okay?" Which of the following responses should the nurse offer?

"We have a neonatal unit here that's equipped to handle emergencies."

"Your pregnancy is advanced so your baby should be fine.

"You must be feeling scared and powerless.

"Everyone worries about her baby when she's in labor."

None

Answer and Explanation

The Correct Answer is C

Answer: C. "You must be feeling scared and powerless."

Rationale:

A. "We have a neonatal unit here that's equipped to handle emergencies.
This response provides factual information but fails to acknowledge the client's emotional distress. While it may offer some reassurance, it does not directly validate the client's fears or foster therapeutic communication.

B. "Your pregnancy is advanced so your baby should be fine."
This statement offers premature reassurance without addressing the client’s emotional needs. It overlooks the potential risks of preterm birth at 32 weeks and may give a false sense of security, which could undermine trust if complications arise.

C. "You must be feeling scared and powerless."
This response reflects therapeutic communication by acknowledging the client’s emotional experience. It invites further discussion, demonstrates empathy, and builds a trusting relationship, which is essential during high-stress situations like preterm labor.

D. "Everyone worries about her baby when she's in labor."
This generalization minimizes the client’s individual feelings. It may make the client feel dismissed or that her concerns are not unique or important, which can hinder open, supportive communication.

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Free Nursing Study Resources

Correct Answer is ["2"]

Explanation

To find out how many lithium carbonate capsules the nurse should administer per dose, we can divide the prescribed dosage (in milligrams) by the amount of lithium carbonate per capsule (in milligrams), and then round to the nearest whole number:

Prescribed dose per administration: 300 mg

Amount of lithium carbonate per capsule: 150 mg/capsule

Steps to find the number of capsules to administer:

Divide the prescribed dose by the amount of lithium carbonate per capsule: 300 mg / 150 mg/capsule = 2 capsules

Since the dosage is already a whole number (2), there's no need to round in this case.

Therefore, the nurse should administer 2 capsules of lithium carbonate per dose.

A. Ambulate twice daily. B. Assess deep tendon reflexes every hour. C. Continuous fetal monitoring D. Obtain a daily weight

Correct Answer is A

Explanation

A) Ambulate twice daily: Clients with severe preeclampsia are at risk of seizures and should not be ambulating. Bed rest is typically prescribed to prevent complications. Therefore, this order requires clarification.
B) Assess deep tendon reflexes every hour: This is an appropriate order as frequent assessment of deep tendon reflexes helps to monitor for signs of worsening preeclampsia and impending eclampsia.
C) Continuous fetal monitoring: Continuous fetal monitoring is essential in severe preeclampsia to monitor fetal well-being and detect signs of fetal distress.
D) Obtain a daily weight: Daily weight monitoring is necessary to assess for fluid retention, which is common in preeclampsia.

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A nurse is caring for a client who is in preterm labor at 32 weeks of gestation. The client asks the nurse. "Will my baby be okay?" Which of the following responses should the nurse offer?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer lithium 300 mg PO every 8 hr. Available is lithium carbonate 150 mg capsules. How many capsules should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Correct Answer is ["2"]

Explanation

A nurse is admitting a client who has severe preeclampsia at 35 weeks of gestation and is reviewing the provider's orders. Which of the following orders requires clarification?

Correct Answer is A

Explanation

A nurse is caring for a client who is at 22 weeks of gestation and has been unable to control her gestational diabetes mellitus with diet and exercise. The nurse should anticipate a prescription from the provider for which of the following medications for the client?

A nurse is caring for a client who experienced a vaginal birth 12 hr ago. The nurse recognizes the client is in the dependent, taking in phase of maternal postpartum adjustment. Which of the following findings should the nurse expect during this phase?

A nurse is caring for a client who had a vaginal delivery 2 hr ago. Which of the following actions should the nurse anticipate in the care of this client? (Select all that apply.)

A nurse on the labor and delivery unit is caring for a client who is having a difficult, prolonged labor with severe backache. Which of the following contributing causes should the nurse identify?

A nurse is caring for a client who was admitted to the maternity unit at 38 weeks of gestation and who is experiencing polyhydramnios. The nurse should understand that this diagnosis means which of the following?

A nurse is caring for a client who is in active labor when the client's membranes rupture. The fetal monitor tracing shows late decelerations. Which of the following actions should the nurse take first?

A nurse is assessing a client in labor who has had epidural anesthesia for pain relief. Which of the following findings should the nurse identify as a complication from the epidural block?

A nurse is caring for a client who is in labor and has an epidural anesthesia block. The client's blood pressure is 80/40 mm Hg and the fetal heart rate is 140/min. Which of the following is the priority nursing action?