The nurse is caring for a patient at 32 weeks gestation experiencing irregular contractions. Which medication order will the nurse anticipate being included in the plan of care?

Misoprostol

Magnesium Sulphate

Butorphanol

Metoprolol

Tint

Answer and Explanation

The Correct Answer is B

Choice A reason: Misoprostol is used to induce Labor and is not typically used to manage irregular contractions at 32 weeks gestation.

Choice B reason: Magnesium Sulphate is often used in cases of preterm Labor to relax the uterine muscles and prevent contractions, thereby helping to delay delivery and reduce the risk of complications for the baby.

Choice C reason: Butorphanol is a pain reliever and is not typically used to manage irregular contractions in pregnancy.

Choice D reason: Metoprolol is a beta-blocker used to treat high blood pressure and other heart conditions, but it is not used to manage irregular contractions in pregnancy.

Choice E reason: "Tint" is not a medication and does not relate to the management of irregular contractions in pregnancy.

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Correct Answer is C

Explanation

Choice A reason: Lethargy and hypotonia are concerning symptoms that indicate a significant decrease in muscle tone and alertness, which can be associated with various medical conditions. However, they may not require immediate intervention compared to a critically low heart rate.

Choice B reason: Elastic skin turgor is generally a normal finding, indicating good hydration status and skin elasticity. It does not require urgent attention.

Choice C reason: An apical heart rate of 64 beats per minute is significantly low for a paediatric patient, indicating bradycardia. This requires immediate attention and intervention to ensure the patient's cardiovascular stability.

Choice D reason: A blood pressure of 100/54 mmHg is within a normal range for many paediatric patients and does not indicate an immediate emergency.

Choice E reason: A flat anterior fontanel is a normal finding in infants and does not require urgent intervention.

A. The patient who is 11 weeks pregnant and nauseous, tired, and sleepy most of the day. B. The patient who is 30 weeks pregnant complained of "blurred vision and seeing spots." C. The patient who is 40 weeks pregnant and has to urinate every 2 hours. D. The patient who is 37 weeks pregnant and has 4 to 5 contractions in an hour.

Correct Answer is B

Explanation

Choice A reason: While nausea, tiredness, and sleepiness are common during the first trimester of pregnancy, they are typically not signs of an immediate emergency. This patient does not exhibit any alarming symptoms that would require immediate hospital referral.

Choice B reason: Blurred vision and seeing spots during pregnancy can be symptoms of preeclampsia, a potentially dangerous condition characterized by high blood pressure. Preeclampsia can pose serious health risks to both the mother and the baby and requires immediate medical attention.

Choice C reason: Frequent urination is a common symptom in the later stages of pregnancy due to the pressure the growing baby exerts on the bladder. This symptom alone does not indicate an immediate need for hospital evaluation.

Choice D reason: Having 4 to 5 contractions in an hour at 37 weeks of pregnancy can be a sign of early labor. However, unless the contractions are persistent and intensifying, this may not necessitate an immediate hospital referral. The nurse would likely advise the patient to monitor the contractions and come in if they continue or become stronger.

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The nurse is caring for a patient at 32 weeks gestation experiencing irregular contractions. Which medication order will the nurse anticipate being included in the plan of care?

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