Complete the following sentence using the lists of options.

The nurse should prescribe intramuscular ceftriaxone to decrease the risk of ophthalmia neonatorum in a newborn.

The nurse should identify ceftriaxone as a suitable medication for bacterial infections.

The nurse should use intramuscular ceftriaxone to treat gonorrhea effectively.

The nurse should select intramuscular ceftriaxone for prophylaxis against postpartum infections.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Intramuscular ceftriaxone is effective in preventing ophthalmia neonatorum, caused by Neisseria gonorrhoeae. This bacterial prophylaxis inhibits cell wall synthesis, reducing infection transmission from mother to newborn.

Choice B rationale

While ceftriaxone treats bacterial infections broadly, this choice lacks specificity to neonatal risk factors like gonococcal transmission. It’s insufficient for targeted preventative care against ophthalmia neonatorum.

Choice C rationale

Ceftriaxone effectively treats gonorrhea by targeting penicillin-binding proteins. However, this option overlooks preventive measures crucial for neonates, focusing instead on therapeutic intervention for active infections.

Choice D rationale

Postpartum infection prophylaxis might use ceftriaxone, but it fails to address neonatal ophthalmic concerns. The focus here is misplaced, diverging from the stated preventive objective for the newborn.

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Correct Answer is A

Explanation

Choice A rationale

A respiratory rate of 11/min is below the normal adult range of 12–20/min and indicates respiratory depression, a potential adverse effect of magnesium sulfate requiring immediate intervention.

Choice B rationale

Deep tendon reflexes graded 2+ are within the normal range, indicating that magnesium sulfate has not caused neuromuscular suppression, which would present as absent or diminished reflexes.

Choice C rationale

A urine output of 30 mL/hr meets the minimum renal perfusion threshold, so it does not indicate magnesium toxicity or renal impairment, which would show decreased urine production.

Choice D rationale

Blood pressure of 100/62 mm Hg is low-normal and does not signify hypotension related to magnesium sulfate use. Vital signs within this range are not typically concerning in this context.

A. Restrict protein intake to less than 40 g/day. B. Initiate seizure precautions for the client. C. Encourage the client to ambulate twice per day. D. Initiate an infusion of 0.9% sodium chloride at 150 mL/hr. . .

Correct Answer is B

Explanation

Choice A rationale

Restricting protein intake can worsen outcomes in preeclampsia by increasing protein catabolism. Normal protein intake (50–100 g/day) is encouraged to meet the nutritional needs of mother and fetus.

Choice B rationale

Seizure precautions are necessary in preeclampsia due to the risk of eclampsia from uncontrolled blood pressure. Measures include bedrails padding and medication administration to reduce seizure occurrences.

Choice C rationale

Ambulation may exacerbate complications in severe preeclampsia due to elevated blood pressure and increased vascular resistance. Rest and activity restriction better manage symptoms and prevent worsening.

Choice D rationale

Fluid administration at high rates can worsen edema in preeclampsia. Controlled fluid management balances volume without exacerbating hypertension or causing pulmonary edema. .

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Complete the following sentence using the lists of options.

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Naxlex Comprehensive Predictor Exams

A nurse is assessing a client who is at 31 weeks of gestation and is receiving magnesium sulfate via continuous IV infusion for preterm labor.Which of the following findings should the nurse report to the provider?

Correct Answer is A

Explanation

A nurse is admitting a client who is at 33 weeks of gestation and has preeclampsia with severe features.Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse is providing teaching to a group of clients about risk factors for ovarian cancer.Which of the following risk factors should the nurse include? (Select all that apply.)

A nurse is caring for a client.Which of the following interventions should the nurse perform? (Click on the exhibit tabs for additional information about the client.There are three tabs that contain separate categories of data.)

A nurse is discussing recommendations for daily nutrient intake during pregnancy with a client who is at 8 weeks of gestation.For which of the following nutrients should the nurse instruct the client to increase their intake during the first trimester of pregnancy?

Following this type of birth, the nurse should monitor the client for hemorrhage and monitor the newborn for facial nerve palsy.What additional care should the nurse consider?

A nurse is caring for a client who is pregnant for the fourth time.The client delivered two full-term newborns and had one spontaneous abortion at 10 weeks of gestation.The nurse should document the client's obstetrical history as which of the following?

A nurse is reviewing a laboratory report for a client who is at 33 weeks of gestation and has preeclampsia.Which of the following laboratory results should the nurse expect?

A nurse is teaching a client about using an intrauterine device (IUD) for contraception.Which of the following client statements indicates an understanding of the teaching?

A nurse conducts a physical exam of a client who reports feeling well.Findings include: