Which of the following is a finding for a patient who is having hypertonic contractions during labor?

Decreased fetal heart rate.

Uterus may not relax between contractions.

Easily indentable contraction.

Contractions are weak and ineffective.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Decreased fetal heart rate can occur due to uteroplacental insufficiency but is not specific to hypertonic contractions.

Choice B rationale

The uterus may not relax between contractions, leading to a lack of rest periods for the fetus and compromised blood flow.

Choice C rationale

Easily indentable contractions are characteristic of hypotonic contractions, not hypertonic ones.

Choice D rationale

Weak and ineffective contractions indicate hypotonic labor, contrasting the excessive strength of hypertonic contractions.

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Correct Answer is D

Explanation

Choice A rationale

Azithromycin is an antibiotic used to treat infections and is not indicated for promoting lung maturity in preterm infants.

Choice B rationale

Indomethacin is a tocolytic agent used to delay preterm labor but does not promote lung maturity in the fetus.

Choice C rationale

Magnesium sulfate is used for neuroprotection and to prevent seizures in preeclampsia, but it does not enhance lung maturity.

Choice D rationale

Betamethasone is a corticosteroid that accelerates fetal lung development and surfactant production, promoting lung maturity in preterm infants.

A. Perform a Ballard exam and obtain a score to identify exposure to substances. B. Provide consoling therapies such as offering non-nutritive sucking with a pacifier. C. Administer naloxone. D. Encourage the parents and visitors to provide frequent bonding.

Correct Answer is B

Explanation

Choice A rationale

The Ballard exam assesses gestational age, not substance exposure. It does not provide information about substance use disorder.

Choice B rationale

Non-nutritive sucking with a pacifier provides comfort and soothes newborns experiencing withdrawal symptoms due to substance exposure.

Choice C rationale

Naloxone is used to reverse opioid overdose, but it is not indicated for routine care of newborns with substance exposure.

Choice D rationale

Frequent bonding can overstimulate newborns withdrawing from substances. Limited, calming interactions are more appropriate in this context.

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Which of the following is a finding for a patient who is having hypertonic contractions during labor?

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Naxlex Comprehensive Predictor Exams

A nurse is assisting with providing care for a client who is in preterm labor at 32 weeks of gestation. Which of the following medications should the nurse anticipate the provider will prescribe to help with lung maturity?

Correct Answer is D

Explanation

A nurse is planning care for a 4-hour-old newborn born to a client who has a prenatal history of substance use disorder. Which of the following interventions should the nurse include in the plan of care?

Correct Answer is B

Explanation

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