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. 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.
Correct Answer is B
Explanation
A. The contractions are regular – Incorrect; regular contractions occur throughout labor, not just in the second stage.
B. The cervix is fully dilated. – Correct; the second stage of labor begins when the cervix is completely dilated (10 cm), allowing for pushing and delivery.
C. The membranes have ruptured – Incorrect; rupture of membranes can occur at any stage of labor.
D. The provider has ruptured the membranes – Incorrect; artificial rupture (amniotomy) does not determine the start of the second stage.
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