A primigravida arrived at 0400 to labor and delivery complaining of painful contractions. The client reports irregular contractions since 2000 and is unable to sleep. On examination, the patient's cervical finding is fingertip and 50% effaced. The patient is admitted for therapeutic rest. The nurse anticipates the provider will order what medication.
Misoprostol
Oxytocin
A barbiturate
Fentanyl
The Correct Answer is C
A. Misoprostol – Incorrect; this is a cervical ripening agent used for labor induction, not for therapeutic rest.
B. Oxytocin – Incorrect; oxytocin is used to stimulate labor contractions, not to promote rest.
C. A barbiturate – Correct; barbiturates (e.g., secobarbital) or other sedatives are used for therapeutic rest in clients experiencing prodromal labor with no cervical progression.
D. Fentanyl – Incorrect; fentanyl is a short-term opioid analgesic but does not promote restful sleep.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Picture book about hospitals – Incorrect; a picture book may help older children but is not as effective for a 2-year-old experiencing separation anxiety.
B. Toy hammer and pounding board – These toys can be good for physical activity, but they might not be calming during a stressful tantrum.
C. Stuffed animal – Correct; comfort objects help reduce anxiety and provide security in an unfamiliar environment.
D. Set of building blocks – Incorrect; blocks help with fine motor development but do not directly address stress relief as well as other options.
Correct Answer is ["B","C","E"]
Explanation
A. Hormonal imbalances – Incorrect; while maternal hormones can impact fetal growth, they are not classified as teratogens.
B. Chemicals – Correct; drugs, alcohol, and toxins (e.g., thalidomide, lead, mercury) can cause birth defects.
C. Environmental – Correct; radiation and pollutants can affect fetal development.
D. Emotional stress – Incorrect; while stress affects pregnancy outcomes, it is not classified as a teratogen.
E. Infections – Correct; infections such as rubella, toxoplasmosis, and syphilis can cause severe congenital abnormalities.
F. Physical trauma – Incorrect; trauma can harm the fetus but is not a teratogen.
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