The nurse is assessing a patient who is 28 weeks pregnant and complaining of intermittent back pain and pelvic pressure.
Which of the following should the nurse expect to be done? Select all that apply.

Ultrasound for cervical length.

Amniocentesis.

Glucose tolerance test.

Fetal fibronectin swab.

Give fluids and encourage rest.

Answer and Explanation

Correct Answer : A,D,E

Choice A rationale

An ultrasound for cervical length is a crucial diagnostic tool for assessing preterm labor. A shortened cervix, typically less than 2.5 cm, is a significant risk factor for preterm birth. Measuring the cervical length helps to determine the probability of progressing to true labor and guides subsequent interventions, such as cerclage or progesterone therapy.

Choice B rationale

Amniocentesis, the sampling of amniotic fluid, is primarily used for genetic testing, assessing fetal lung maturity, or diagnosing fetal infection. It is not a standard procedure for a patient with intermittent back pain and pelvic pressure at 28 weeks gestation, as it carries risks, including inducing labor and infection, and isn't the first-line diagnostic for this presentation.

Choice C rationale

A glucose tolerance test is a screening tool for gestational diabetes, typically performed between 24 and 28 weeks of gestation. While the patient is at this gestational age, the test is not directly related to the symptoms of back pain and pelvic pressure, which are more indicative of potential preterm labor. The test wouldn't be a priority in this specific context.

Choice D rationale

A fetal fibronectin (fFN) swab is a diagnostic test used to predict the likelihood of preterm birth. The presence of fFN, a protein that acts as a "glue" for the fetal sac, in cervical or vaginal secretions between 22 and 34 weeks gestation suggests an increased risk of preterm labor within the next one to two weeks. It is a key tool in managing preterm labor.

Choice E rationale

Encouraging fluids and rest is a common initial intervention for a patient with symptoms of preterm labor. Dehydration can sometimes trigger uterine contractions, so rehydration may help to stop them. Resting can also reduce uterine irritability. This non-pharmacological approach is often the first step before more aggressive treatments are considered. *.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is D

Explanation

Choice A rationale

The statement, "I am glad they are giving me something to try to stop my labor for now," shows a correct understanding of nifedipine's role as a tocolytic agent. Nifedipine, a calcium channel blocker, works by inhibiting the influx of calcium into uterine muscle cells, which is necessary for contraction. This effectively slows or stops preterm labor, giving time for corticosteroids to work.

Choice B rationale

The statement, "This medication can lower my blood pressure to dangerous levels," shows a correct understanding of a major side effect of nifedipine. As a calcium channel blocker, it causes vasodilation, which can lead to a drop in blood pressure. The patient should be monitored for hypotension and advised to report symptoms like dizziness or lightheadedness.

Choice C rationale

The statement, "I will let you know if I feel dizzy," indicates a correct understanding of a common symptom associated with the hypotensive effect of nifedipine. Dizziness is a direct result of decreased cerebral blood flow due to lower blood pressure. Reporting this symptom allows the nurse to intervene and prevent falls or other complications.

Choice D rationale

The statement, "Nifedipine should help mature my baby's lungs," is incorrect. Nifedipine is a tocolytic used to stop uterine contractions. The medication used to promote fetal lung maturity is a corticosteroid, such as betamethasone. This statement indicates a need for additional teaching to differentiate the purpose of these two classes of medications.

Correct Answer is ["0.25"]

Explanation

Step 1 is: 12.5 mg ÷ (50 mg ÷ 1 mL) = 0.25 mL. The final calculated answer is 0.25 mL.

View Question and Answer

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

The nurse is assessing a patient who is 28 weeks pregnant and complaining of intermittent back pain and pelvic pressure. Which of the following should the nurse expect to be done? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A 32-week pregnant patient is receiving nifedipine for preterm labor. Which of the following statements made by the patient indicates a need for additional teaching?

Correct Answer is D

Explanation

The nurse-midwife orders fentanyl 12.5 mg IV now for the laboring mother. Fentanyl from the pharmacy comes in 50 mg/ml vials. How many ml would the nurse draw up for the injection?

Correct Answer is ["0.25"]

Explanation

Prepidil (prostaglandin gel) has been ordered for a pregnant woman at 42 weeks gestation. The nurse recognizes that this medication will be administered to:

The nurse is caring for a patient whose labor is being augmented with oxytocin. The nurse recognizes that the oxytocin should be discontinued immediately if there is evidence of:

A patient in active labor is told by the nurse-midwife that "the baby is in the flexed attitude.”. When she asks the nurse what that means, what should the nurse say?

When assessing a multiparous patient who has just given birth to an 8-pound boy, the nurse notes that the patient's fundus is firm and has become globular in shape. A gush of dark red blood comes from her vagina. What does the nurse conclude?

A patient was given a fentanyl injection during labor. The nurse noted the expected outcome of loss of variability along with a pattern indicating uteroplacental insufficiency. Which of the following strips illustrates this?

A 38-week pregnant patient is being prepared for a version. Which of the following assessments is most important during and after this procedure?

The nurse is assessing a patient who is 28 weeks pregnant and complaining of intermittent back pain and pelvic pressure. Which of the following should the nurse expect to be done? Select all that apply.

The nurse is assessing a patient who is 28 weeks pregnant and complaining of intermittent back pain and pelvic pressure.
Which of the following should the nurse expect to be done? Select all that apply.