A nurse is teaching a client who is at 30 weeks of gestation and has coarctation of the aorta. Which of the following statements should the nurse include regarding this congenital heart defect?

"You will receive terbutaline if you experience preterm labor."

"You will be encouraged to receive epidural anesthesia during labor."

"You will be placed in a supine position during labor."

"You have an increased risk of developing preeclampsia."

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Terbutaline is a medication used to inhibit uterine contractions and is not directly related to managing coarctation of the aorta.

Choice B rationale:

Coarctation of the aorta is a congenital heart defect characterized by narrowing of the aorta, which can lead to increased pressure and decreased blood flow to the lower part of the body. During labor, epidural anesthesia is often recommended for clients with coarctation of the aorta to reduce stress and pain, as well as to maintain stable blood pressure.

Choice C rationale:

Placing a client with coarctation of the aorta in a supine position during labor can worsen the obstruction of blood flow and is contraindicated. Left lateral positioning or other positions that enhance venous return are preferred.

Choice D rationale:

There is no established increased risk of preeclampsia in clients with coarctation of the aorta.

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Correct Answer is A

Explanation

Choice A rationale:

Electroconvulsive therapy (ECT) is typically administered as a series of treatments, often ranging from 6 to 12 sessions, to achieve optimal therapeutic effects.

Choice B rationale:

ECT can provide relief from severe depressive symptoms, but it is not necessarily considered a "cure" for depression.

Choice C rationale:

ECT is not usually accompanied by antianxiety medication during the treatments.

Choice D rationale:

Recovery from ECT typically occurs within minutes after the treatment, not after 2 hours.

A. "Expect heavier menstrual bleeding while using the patch." B. "Place the patch on the upper thigh." C. "Apply the first patch within 24 hours of starting your menstrual cycle." D. "Apply a new patch at the same time each day."

Correct Answer is C

Explanation

A: Expecting heavier menstrual bleeding while using the patch is not a typical instruction given to clients. The patch may actually result in lighter, more regular bleeding.

B: The patch should not be placed on the upper thigh. According to the guidelines, the patch should be applied to clean, dry skin on the belly, buttocks, or back, and can also be placed on the outer part of the upper arm.

C: Applying the first patch within 24 hours of starting the menstrual cycle is correct. This ensures that the patch begins to work in sync with the client's natural cycle, providing immediate contraceptive protection.

D: A new patch should not be applied at the same time each day. Instead, it should be changed once a week on the same day, known as the "patch change day" to maintain consistent contraceptive coverage.

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A nurse is teaching a client who is at 30 weeks of gestation and has coarctation of the aorta. Which of the following statements should the nurse include regarding this congenital heart defect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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