An 8-pound 15-ounce baby born at 35 weeks’ gestation would be described using which terminology? Select all that apply.

Small for gestational age

Term

Preterm

Average for gestational age

Post term

Answer and Explanation

Correct Answer : C,D

Choice A reason:

“Small for gestational age” (SGA) refers to babies who are smaller than the typical weight for their gestational age, usually below the 10th percentile. An 8-pound 15-ounce baby born at 35 weeks is not considered SGA because this weight is above the average for that gestational age

Choice B reason:

“Term” refers to babies born between 37 and 42 weeks of gestation. Since the baby in question was born at 35 weeks, they are not considered term.

Choice C reason:

“Preterm” refers to babies born before 37 weeks of gestation. A baby born at 35 weeks falls into this category and is specifically classified as a “late preterm” infant3. Late preterm infants are those born between 34 and 36 weeks of gestation. These babies may require additional medical support compared to full-term infants but generally have better outcomes than those born earlier.

Choice D reason:

“Average for gestational age” (AGA) refers to babies whose weight is within the normal range for their gestational age, typically between the 10th and 90th percentiles. An 8-pound 15-ounce baby born at 35 weeks is considered AGA because this weight is within the expected range for that gestational age.

Choice E reason:

“Post term” refers to babies born after 42 weeks of gestation. Since the baby in question was born at 35 weeks, they are not considered post term.

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Correct Answer is B

Explanation

Choice A reason:

Assessing maternal blood glucose is important in various clinical scenarios, such as managing diabetes during pregnancy. However, it is not directly related to the immediate issue of magnesium sulfate toxicity. Magnesium sulfate can cause respiratory depression, and a respiratory rate of 10/min is a critical sign that requires immediate intervention to prevent further complications.

Choice B reason:

Discontinuing the magnesium infusion is the priority intervention. Magnesium sulfate toxicity can lead to severe respiratory depression, hypotension, and loss of deep tendon reflexes. A respiratory rate of 10/min indicates significant respiratory depression, which can be life-threatening. Stopping the infusion immediately helps to prevent further accumulation of magnesium in the body and allows for the administration of the antidote, calcium gluconate, if necessary.

Choice C reason:

Preparing for an emergency cesarean birth is a critical intervention in cases of fetal distress or other obstetric emergencies. However, in this scenario, the immediate concern is the client’s respiratory depression due to magnesium sulfate toxicity. Addressing the respiratory issue takes precedence to stabilize the client before considering any surgical interventions.

Choice D reason:

Placing the client in Trendelenburg position is typically used to treat hypotension or shock by promoting venous return to the heart. While it can be beneficial in certain situations, it does not address the primary issue of respiratory depression caused by magnesium sulfate toxicity. The priority is to discontinue the magnesium infusion and manage the respiratory depression.

A. Products of conception will be present in vaginal bleeding. B. Increased intake of zinc-rich foods is recommended. C. Vaginal intercourse can be resumed after 2 weeks. D. Aspirin may be taken for cramps.

Correct Answer is C

Explanation

Choice A Reason:

It is not typical to see products of conception in vaginal bleeding after a D&C, as the procedure is intended to remove all remaining tissue from the uterus. Post-procedure bleeding should be monitored, but the presence of products of conception would indicate an incomplete procedure.

Choice B Reason:

While a balanced diet is important for recovery, there is no specific recommendation to increase the intake of zinc-rich foods following a D&C. The focus should be on overall nutritional support rather than specific nutrients.

Choice C Reason:

Vaginal intercourse can generally be resumed after 2 weeks, provided there are no complications and the client feels comfortable. This allows time for the cervix to close and reduces the risk of infection.

Choice D Reason:

Aspirin is not recommended for pain relief after a D&C because it can increase the risk of bleeding. Nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen are typically recommended instead.

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An 8-pound 15-ounce baby born at 35 weeks’ gestation would be described using which terminology? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client is being treated with magnesium sulfate IV. The client’s respiratory rate is 10/min. What should the nurse do?

Correct Answer is B

Explanation

A nurse in the ambulatory surgery center is providing discharge teaching to a client who had a dilation and curettage (D&C) following a spontaneous miscarriage. Which of the following should be included in the teaching?

Correct Answer is C

Explanation

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