Temp 98.6 (O)
Sp02 98% on RA
FHR 155 with minimal variability
Which of the following will you recommend for this patient? (Select all that apply)
Brethine (Terbutaline)
Pitocin 20 u in 500cc RL to run at125cc per hour
Misoprostol (Cytotec)
Betamethasone
Oxytocin (Pitocin)
IV Fluids
Correct Answer : D,F
A. Brethine (Terbutaline) is typically used for stopping premature labor but is not recommended for all patients as it can have side effects like tachycardia and decreased uterine contractions. The patient does not appear to need to stop labor immediately, and other interventions are more appropriate.
B. Pitocin (Oxytocin) is used to augment labor but is not indicated in a case of early labor unless there is a need to speed up contractions or induce labor after a period of observation.
C. Misoprostol (Cytotec) is a medication used to ripen the cervix, but it’s not appropriate here as the patient is only 2 cm dilated and doesn't show indications for labor induction.
D. Betamethasone is used to promote fetal lung maturity in cases of preterm labor. Given the patient is at 34 weeks, this would be an appropriate intervention.
E. Oxytocin (Pitocin) would only be used for augmentation or induction in a more advanced labor situation, and it's not needed at this stage.
F. IV Fluids are important in this case to maintain hydration and possibly prevent preterm labor, as dehydration can exacerbate contractions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"dropdown-group-1":"B"}
Explanation
Given the client's symptoms of severe lower abdominal pain on the left side, the nurse should be concerned about a potential ectopic pregnancy, where the fertilized egg implants outside the uterus, commonly in the fallopian tube. This is a medical emergency, as it can lead to life-threatening complications if the tube ruptures.
Correct Answer is C
Explanation
A. To identify abnormal fetal cells: This is typically the purpose of amniocentesis earlier in pregnancy to check for genetic disorders, not at 34 weeks.
B. To detect metabolic disorders: Metabolic disorders are usually identified through newborn screening after birth rather than through late pregnancy amniocentesis.
C. To determine fetal lung maturity: At 34 weeks gestation, determining fetal lung maturity is critical, especially in cases of preeclampsia, as early delivery might be necessary.
D. To identify the sex of the fetus: The sex of the fetus is usually determined earlier in pregnancy if necessary, not at 34 weeks, and it is not the primary purpose in this context.
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