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?

Asthma

Diabetes mellitus

Hypertension

Cardiac disease

Answer and Explanation

The Correct Answer is D

Nifedipine is a calcium channel blocker that is used to relax uterine contractions and postpone preterm labor. However, it can also lower blood pressure and cause side effects such as headache, dizziness, flushing, and palpitations. Therefore, it should be avoided in clients who have cardiac disease or other conditions that affect the heart function.

Choice A is wrong because asthma is not a contraindication for nifedipine. Nifedipine does not affect the airways or cause bronchospasm.

Choice B is wrong because diabetes mellitus is not a contraindication for nifedipine. Nifedipine does not affect blood glucose levels or insulin secretion.

Choice C is wrong because hypertension is not a contraindication for nifedipine. In fact, nifedipine can be used to treat high blood pressure as well as preterm labor. However, blood pressure should be monitored closely during nifedipine therapy to avoid hypotension.

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Correct Answer is A

Explanation

Monitor vital signs and neurological status frequently.

This is because intraventricular hemorrhage (IVH) is a common and serious complication of prematurity that can lead to hydrocephalus, cerebral palsy, and developmental delays.Monitoring vital signs and neurological status can help detect changes in intracranial pressure, bleeding, and infection.

Choice B is wrong because antibiotics are not indicated for IVH unless there is evidence of infection.

Choice C is wrong because elevating the head of the bed to 30 degrees can increase the risk of IVH by reducing cerebral perfusion pressure and causing venous congestion.

Choice D is wrong because supplemental oxygen is not recommended for IVH unless there is hypoxia or respiratory distress.Excessive oxygen can cause oxidative stress and vasoconstriction, which can worsen IVH.

A. History of urinary tract infections B. Maternal age of 25 years C. Singleton pregnancy D. Cervical length of 3 cm

Correct Answer is A

Explanation

History of urinary tract infections.According to the Mayo Clinic, untreated vaginal infections, such as urinary tract infections or sexually transmitted infections, are risk factors for preterm labor.

These infections can cause inflammation and irritation of the cervix, which can trigger contractions and cervical dilation.

Choice B is wrong because maternal age of 25 years is not a risk factor for preterm labor.In fact, women younger than 18 or older than 35 are more likely to have a preterm delivery.

Choice C is wrong because singleton pregnancy is not a risk factor for preterm labor.On the contrary, being pregnant with twins, triplets, or more (called "multiple gestations") is associated with a higher risk of preterm labor and birth.

Choice D is wrong because cervical length of 3 cm is not a risk factor for preterm labor.A short cervix (less than 2.5 cm) or a cervix that shortens in the second trimester instead of the third trimester is a risk factor for preterm delivery.A normal cervical length ranges from 3 to 5 cm during pregnancy.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for a pre-term newborn who has a diagnosis of intraventricular hemorrhage (IVH). Which of the following interventions should the nurse include in the 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?

Correct Answer is A

Explanation

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 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?

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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 caring for a client who is at 33 weeks of gestation and has pre-term labor. The client reports a sudden gush of fluid from her vagina. Which of the following actions should the nurse take first?

A nurse is assessing a pre-term newborn who has retinopathy of prematurity (ROP). Which of the following manifestations should the nurse expect to observe?

A nurse is caring for a client who is in pre-term labor and receiving magnesium sulfate therapy. The nurse should monitor the client for which of the following adverse effects of magnesium sulfate?

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?