A nurse is caring for a client who is receiving oxytocin to induce labor.
The nurse should discontinue the oxytocin if which of the following occurs?

Six contractions in 10 min.

Contractions last 60 seconds.

Moderate variability of the fetal heart rate.

Nonrepetitive early decelerations.

Answer and Explanation

The Correct Answer is A

A nurse should discontinue oxytocin if the client experiences uterine hyperkinesia, which is deﬁned as more than 5 contractions in 10 minutes.

Choice B is not correct because contractions lasting 60 seconds are within the normal range.

Choice C is not correct because moderate variability of the fetal heart rate is a reassuring sign.

Choice D is not correct because nonrepetitive early decelerations are generally considered benign and do not require intervention.

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Correct Answer is C

Explanation

A nurse should report absent deep-tendon reﬂexes to the provider when a client is receiving magnesium sulfate via continuous IV infusion.

This is because reduced tendon reﬂexes can be a side eﬀect of magnesium sulfate use during pregnancy.

Choice A is not correct because a decrease in the frequency of contractions is an expected outcome of magnesium sulfate use as a tocolytic to stop preterm labor.

Choice B is not correct because a urinary output of 35 mL/hr is within the normal range.

Choice D is not correct because an elevated blood pressure is not a known side eﬀect of magnesium sulfate use during pregnancy.

A. Puncture the heel on the inner aspect of the foot. B. Use an automatic puncture device on the heel. C. Cleanse the newborn's heel with an alcohol swab after the procedure. D. Place an ice pack on the newborn's heel 5 min before the procedure.

Correct Answer is B

Explanation

“Use an automatic puncture device on the heel.” This is the most common and minimally invasive method to draw capillary blood from an infant for medical testing.

Choice A is incorrect because the heel should be punctured on the outer aspect of the foot to avoid damaging the calcaneus bone.

Choice C is incorrect because the heel should be cleansed with an alcohol swab

before, not after, the procedure.

Choice D is incorrect because there is no need to place an ice pack on the newborn’s heel before the procedure.

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A nurse is caring for a client who is receiving oxytocin to induce labor. The nurse should discontinue the oxytocin if which of the following occurs?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who is at 32 weeks of gestation and is receiving magnesium sulfate via continuous IV infusion. Which of the following findings should the nurse report to the provider?

Correct Answer is C

Explanation

A nurse is performing a heel stick on a newborn. Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse is providing teaching about the expected eﬀects of magnesium sulfate to a client who is at 28 weeks of gestation and has preeclampsia. Which of the following responses by the nurse is appropriate?

A nurse is assessing a client during her first prenatal visit. The client reports March 20 as her last menstrual period. Use Naegele's rule to calculate the estimated date of delivery. (Use the MMDD format with four numerals and no spaces or punctuation: MMDD.)

A nurse is caring for a client who has preeclampsia and is receiving magnesium sulfate. Which of the following clinical findings should the nurse instruct the client to report?

After completing post anesthesia recovery assessments, the registered nurse (RN) asks the practical nurse (PN) to transfer four clients, each two hours post-birth, to the postpartum unit. Which client should the PN ask the RN to reassess prior to transfer?

A nurse is using Nägele's Rule to calculate the expected delivery date of a client who reports that the first day of her last menstrual cycle was July 28th. Which of the following dates should the nurse document as the client's expected delivery date?

A nurse is assessing a client who is in preterm labor and has a new prescription for terbutaline 0.25 mg subcutaneous. For which of the following findings should the nurse withhold the medication and report to the provider?

A nurse is caring for a newborn. Which of the following assessment findings should indicate to the nurse that suctioning of the nasopharynx is needed?

A nurse is caring for a client who is in preterm labor and receiving magnesium sulfate by continuous IV infusion. Which of the following laboratory values should the nurse review during tocolytic therapy?

A nurse is caring for a client who is receiving oxytocin to induce labor.
The nurse should discontinue the oxytocin if which of the following occurs?