A nurse is educating a client who is at risk for pre-term labor about measures to prevent it from occurring.

Which of the following instructions should the nurse include?

Avoid sexual intercourse until term

Drink at least 2 L of water per day

Lie down when feeling contractions

Take aspirin for pelvic pain

Answer and Explanation

The Correct Answer is B

Drinking enough water can help prevent dehydration, which can trigger preterm labor contractions. Dehydration can also cause low amniotic fluid levels, which can affect fetal growth and development.

Choice A is wrong because avoiding sexual intercourse until term is not necessary for most women at risk for preterm labor. Sexual activity does not cause preterm labor unless there are other complications, such as placenta previa or cervical insufficiency.

Choice C is wrong because lying down when feeling contractions may not stop preterm labor. If a woman has regular contractions that cause cervical change, she should seek medical attention as soon as possible. Lying down may also reduce blood flow to the uterus and placenta, which can affect fetal oxygenation.

Choice D is wrong because taking aspirin for pelvic pain is not recommended for pregnant women. Aspirin can increase the risk of bleeding and affect fetal blood circulation.

Pelvic pain may be a sign of preterm labor or other complications, so it should be evaluated by a health care provider

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Correct Answer is B

Explanation

It will increase fetal lung maturity.

Betamethasone is a type of corticosteroid that is given to pregnant women who are at risk of preterm delivery between 24 and 34 weeks of gestation.It helps to improve neonatal outcomes by reducing the incidence of respiratory distress syndrome and other complications.Betamethasone works by stimulating the production and release of surfactant, a substance that lubricates the lungs and prevents them from collapsing when the baby breathes.

Choice A is wrong because betamethasone does not affect maternal blood pressure.

Choice C is wrong because betamethasone does not reduce uterine contractions.

Choice D is wrong because betamethasone does not prevent neonatal infection.

A. Referral to community services for support B. Encouragement to smoke in moderation C. Instructions for heavy lifting and strenuous exercise D. Recommendation to avoid kangaroo care

Correct Answer is A

Explanation

A. Referral to community services for support.

Referral to community services for support is an important part of the discharge plan for a client in preterm labor.Community services can provide education, counseling, home visits, and other resources to help the client cope with preterm labor and prevent complications.

B. Encouragement to smoke in moderation.Statement is wrong because smoking is harmful for the unborn baby and can increase the risk of preterm labor.Smoking should be avoided completely during pregnancy and the client should be advised to quit or seek help to quit.

C. Instructions for heavy lifting and strenuous exercise.Statement is wrong because heavy lifting and strenuous exercise can trigger contractions and worsen preterm labor.The client should be instructed to rest as much as possible and avoid activities that may cause uterine irritation or bleeding.

D. Recommendation to avoid kangaroo care.Statement is wrong because kangaroo care, or skin-to-skin contact with the baby, is beneficial for both the mother and the baby after birth.Kangaroo care can help regulate the baby’s temperature, heart rate, breathing, and blood sugar levels, as well as promote bonding, breastfeeding, and infection prevention.The client should be encouraged to practice kangaroo care as soon as possible after delivery.

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A nurse is educating a client who is at risk for pre-term labor about measures to prevent it from occurring. Which of the following instructions should the nurse include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client who is experiencing pre-term labor at 32 weeks of gestation and has been prescribed betamethasone. Which of the following outcomes should the nurse expect from this medication?

Correct Answer is B

Explanation

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

Correct Answer is A

Explanation

A nurse is reviewing the medical record of a client who is at 34 weeks of gestation and has pre-term labor. Which of the following findings is a risk factor for pre-term labor?

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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?

A nurse is evaluating the effectiveness of magnesium sulfate therapy for a client who is in pre-term labor. Which of the following findings indicates that the therapy is successful?

A nurse is reviewing the medication history of a client who is in pre-term labor and has a history of peptic ulcer disease. The nurse should recognize that which of the following medications is contraindicated for this client?

A nurse is performing a digital examination on a client who is at 34 weeks of gestation and has pre-term labor. Which of the following findings indicates cervical effacement?

A nurse is educating a client who is at risk for pre-term labor about measures to prevent it from occurring.

Which of the following instructions should the nurse include?