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 A
Explanation
A. Quickening – Correct; the first sensation of fetal movement, typically felt between 16-20 weeks of gestation.
B. Ballottement – Incorrect; this refers to a physical examination finding where the fetus rebounds when the cervix is tapped.
C. Lightening – Incorrect; this occurs later in pregnancy when the fetus drops into the pelvis before labor.
D. Nesting – Incorrect; this describes a surge of energy before labor, not fetal movement.
Correct Answer is D
Explanation
A. 160 to 190 bpm/min – Incorrect; this is too high for the normal range but may be seen in early pregnancy.
B. 80 to 100 bpm/min – Incorrect; this is too low and may indicate fetal distress or bradycardia.
C. 100 to 110 bpm/min – Incorrect; while this may be borderline normal in late pregnancy, it is lower than expected at 12 weeks.
D. 110 to 160 bpm/min – Correct; this is the normal fetal heart rate (FHR) range throughout pregnancy.
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