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 D
Explanation
A. Decreased response with sexual activity – Incorrect; decreased libido is common postpartum and not an urgent concern.
B. A scant non-odorous white vaginal discharge – Incorrect; lochia alba (whitish discharge) is normal at 4 weeks postpartum.
C. Uterine cramping during breastfeeding – Incorrect; cramping (due to oxytocin release) is expected postpartum.
D. A moderate serosanguineous malodorous discharge – Correct; foul-smelling lochia can indicate endometritis (a postpartum infection).
Correct Answer is D
Explanation
A. G2 T1 P1 A1 L0 – Incorrect; does not include the current pregnancy.
B. G2 T0 P1 A1 L1 – Incorrect; does not include current pregnancy and incorrectly counts a living child.
C. G3 T0 P1 A1 L1 – Incorrect; incorrectly counts a living child.
D. G3 T0 P1 A1 L0 – Correct; accurately represents her pregnancy history.
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