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 C
Explanation
A. Sleeping for 6 consecutive hours is not ideal for a 6-day-old newborn, as they should be feeding every 2-3 hours to maintain hydration and adequate nutrition.
B. Breastfeeding every 4 to 5 hours for 5 minutes per breast is too infrequent and brief for a newborn who should be feeding more often and for longer durations.
C. Six to eight wet diapers per day is a good indicator that the newborn is getting enough breast milk, as this indicates appropriate hydration and feeding.
D. Gaining 1 to 2 ounces the first week is below the expected rate of weight gain, which should typically be about 5-7 ounces per week for a newborn.
Correct Answer is B
Explanation
A. The high blood volume and Wharton's jelly content in the umbilical cord help protect it from compression.
B. The umbilical cord normally contains two arteries and one vein. A statement suggesting two veins is incorrect and indicates a need for additional teaching.
C. The fetal heart starts to beat around 4 weeks of gestation.
D. A Doppler can detect fetal heartbeats as early as 8-12 weeks.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.