The doctor writes an order for Terbutaline to be given 5Q. Which assessment finding will cause the nurse to question this order?
BP 94/60
P 132
UCs are q 10 minutes
FHR is category 1
The Correct Answer is B
A. A blood pressure of 94/60 is low but not typically a contraindication for Terbutaline administration.
B. A pulse of 132 is high and could be a sign of tachycardia, which is a known side effect of Terbutaline, potentially making the use of this medication unsafe.
C. Uterine contractions (UCs) every 10 minutes do not indicate any immediate concern or contraindication for Terbutaline.
D. A category 1 FHR is reassuring and would not contraindicate the use of Terbutaline.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. External version is not recommended in cases of placenta previa as it can cause hemorrhage or placenta separation.
B. External version is typically not performed in placenta previa because of the risk of bleeding or placental separation.
C. A breech presentation combined with placenta previa is a contraindication for external version, as attempting the version could cause severe complications.
D. The presence of a breech presentation, in this case, is not the primary reason for the inability to perform an external version. The main concern is placenta previa.
Correct Answer is C
Explanation
A. A decrease in hematocrit after delivery is more likely due to physiological changes rather than dietary factors alone, though iron intake is important for overall recovery.
B. Hemoconcentration refers to an increase in hematocrit due to a decrease in plasma volume, but this is not the reason for a decreased hematocrit postpartum.
C. During pregnancy, blood volume increases to support both the mother and fetus. After delivery, plasma volume returns to pre-pregnancy levels, which can cause a relative decrease in hematocrit.
D. A significant drop in hematocrit could indicate postpartum hemorrhage, but a slight drop can be expected as part of normal post-delivery physiology.
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