More questions on Preterm Labor

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Question 1:

A client in pre-term labor is being discharged from the hospital.

What should the nurse include in the client's discharge plan?

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Question 2:

A client in pre-term labor is being discharged from the hospital.

What should the nurse include in the client's discharge plan?

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Question 3:

A nurse is preparing to administer betamethasone (Celestone) to a client who is at 31 weeks of gestation and has pre-term labor.

What is the purpose of this medication?

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Question 4:

A nurse is preparing to administer betamethasone (Celestone) to a client who is at 31 weeks of gestation and has pre-term labor.

What is the purpose of this medication?

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Question 5:

A nurse is monitoring a client who is at 29 weeks of gestation and has pre-term labor.

The client is receiving magnesium sulfate IV infusion.

Which of the following are expected adverse effects of this medication? (Select all that apply)

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Question 6:

A nurse is teaching a client who is at 27 weeks of gestation and has pre-term labor about the signs and symptoms of true labor versus false labor.

Which of the following information should the nurse include in the teaching?

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Question 7:

A nurse is caring for a client who is at 33 weeks of gestation and has pre-term labor.

The client reports a sudden gush of fluid from her vagina.

Which of the following actions should the nurse take first?

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Question 8:

A nurse is planning discharge teaching for a client who is at 25 weeks of gestation and has pre-term labor that was successfully stopped with tocolytic therapy.

Which of the following instructions should the nurse include in the teaching?

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Question 9:

A nurse is caring for a pregnant client at 36 weeks of gestation who reports low back pain and pelvic pressure.

Which intervention should the nurse implement first?

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Question 10:

A client at 28 weeks of gestation presents with bleeding from the vagina.

Which assessment finding should the nurse prioritize?

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Question 11:

A nurse is caring for a client who is at 32 weeks of gestation and reports lower abdominal cramping.

Which of the following actions should the nurse take first?

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Question 12:

A nurse is teaching a client who is at risk for pre-term labor about the signs and symptoms to report to the provider.

Which of the following should the nurse include in the teaching?

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Question 13:

A nurse is reviewing the medical record of a client who is at 34 weeks of gestation and has pre-term labor.

Which of the following findings is a risk factor for pre-term labor?

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Question 14:

A nurse is admitting a client who is at 30 weeks of gestation and has pre-term labor.

Which of the following medications should the nurse anticipate administering to prevent fetal respiratory distress syndrome?

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Question 15:

A nurse is evaluating a client who is at 28 weeks of gestation and has pre-term labor.

Which of the following findings indicates that the client’s condition is improving?

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Question 16:

A nurse is providing discharge instructions to a client who had pre-term labor at 32 weeks of gestation and was prescribed bed rest at home.

Which of the following statements by the client indicates an understanding of the teaching?

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Question 17:

A nurse is caring for a client who is at 33 weeks of gestation and has pre-term labor that has not responded to tocolytic therapy.

The client’s cervix is dilated to 4 cm and she is experiencing regular contractions every 3 minutes.

Which of the following interventions should the nurse include in the plan of care?

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Question 18:

A nurse is administering terbutaline to a client who is at 31 weeks of gestation and has pre-term labor.

Which of the following findings should the nurse monitor as an adverse effect of this medication?

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Question 19:

A nurse is caring for a client who is at 35 weeks of gestation and has pre-term labor with intact membranes and no signs of infection.

The provider prescribes indomethacin to inhibit prostaglandin synthesis and suppress uterine contractions.

Which of the following laboratory tests should the nurse monitor while the client is receiving this medication?

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Question 20:

A nurse is assessing a client for pre-term labor.

Which diagnostic test should the nurse anticipate being ordered for this client?

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Question 21:

A nurse is assessing a client for pre-term labor.

Which assessment finding would be most concerning and require immediate intervention?

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Question 22:

A nurse is caring for a client who is at 32 weeks of gestation and has signs of pre-term labor.

Which of the following tests should the nurse anticipate to confirm ROM?

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Question 23:

A nurse is reviewing the history of a client who is at 28 weeks of gestation and has pre-term labor.

Which of the following factors increases the risk of pre-term labor?

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Question 24:

A nurse is performing a digital examination on a client who is at 34 weeks of gestation and has pre-term labor.

Which of the following findings indicates cervical effacement?

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Question 25:

A nurse is reviewing the laboratory results of a client who is at 29 weeks of gestation and has pre-term labor.

Which of the following results indicates an infection that can trigger pre-term labor?

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Question 26:

A nurse is reviewing the ultrasound report of a client who is at 31 weeks of gestation and has pre-term labor.

Which of the following findings indicates oligohydramnios?

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Question 27:

A nurse is preparing to perform an amniocentesis on a client who is at 27 weeks of gestation and has pre-term labor.

Which of the following actions should the nurse take before the procedure?

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Question 28:

A nurse is teaching a client who is at 25 weeks of gestation and has pre-term labor about the purpose and side effects of magnesium sulfate therapy.

Which of the following statements by the client indicates an understanding of the teaching?

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Question 29:

A client at 30 weeks of gestation is experiencing pre-term labor.

Which intervention should the nurse anticipate to suppress uterine contractions?

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Question 30:

A nurse is providing education to a client and her partner about pre-term labor.

Which intervention should the nurse include in the teaching plan to address possible outcomes and complications?

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Question 31:

A nurse is monitoring a client who is receiving terbutaline for pre-term labor.

Which of the following findings should the nurse report to the provider as a potential adverse effect of the medication?

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Question 32:

A nurse is administering betamethasone to a client who is in pre-term labor at 28 weeks of gestation.

The nurse should explain that the purpose of this medication is to:

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Question 33:

A nurse is reviewing the laboratory results of a client who is in pre-term labor and has received indomethacin.

Which of the following findings should the nurse monitor for as a potential complication of the medication?

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Question 34:

A nurse is caring for a client who is receiving magnesium sulfate for pre-term labor.

Which of the following assessments should the nurse perform to evaluate the therapeutic effect of the medication?

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Question 35:

A nurse is preparing to administer nifedipine to a client who is in pre-term labor.

The nurse should withhold the medication and notify the provider if the client has which of the following conditions?

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Question 36:

A nurse is educating a client who is at risk for pre-term labor about measures to prevent it from occurring.

Which of the following instructions should the nurse include?

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Question 37:

A nurse is reviewing the medication history of a client who is in pre-term labor and has a history of peptic ulcer disease.

The nurse should recognize that which of the following medications is contraindicated for this client?

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Question 38:

A nurse is evaluating the fetal heart rate tracing of a client who is in pre-term labor and receiving magnesium sulfate.

The nurse should identify that which of the following patterns indicates a potential adverse effect of the medication on the fetus?

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Question 39:

A nurse is caring for a client who is in pre-term labor and receiving magnesium sulfate therapy.

The nurse should monitor the client for which of the following adverse effects of magnesium sulfate?

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Question 40:

A nurse is planning care for a pre-term infant who is in an incubator.

Which of the following interventions should the nurse include to promote bonding between the infant and the parents?

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Question 41:

A nurse is caring for a client who is experiencing pre-term labor at 32 weeks of gestation and has been prescribed betamethasone.

Which of the following outcomes should the nurse expect from this medication?

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Question 42:

A nurse is assessing a client who is in pre-term labor and has received one dose of terbutaline subcutaneously.

Which of the following findings should the nurse report to the provider?

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Question 43:

A nurse is evaluating the understanding of a client who is at risk for pre-term labor and has been instructed to perform daily home uterine activity monitoring (HUAM).

Which of the following statements by the client indicates a need for further teaching?

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Question 44:

A nurse is admitting a client who is in pre-term labor at 34 weeks of gestation and has ruptured membranes and oligohydramnios.

Which of the following actions should the nurse take first?

Answer and Explanation

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Question 45:

A nurse is providing education to a client who had pre-term labor and was prescribed indomethacin.

Which of the following information should the nurse include in the teaching?

Answer and Explanation

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Question 46:

A nurse is caring for a client who is in pre-term labor.

Which of the following maternal complications is most likely to occur due to prolonged bed rest?

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Question 47:

A nurse is assessing a pre-term newborn who was born at 28 weeks of gestation.

Which of the following findings indicates a possible diagnosis of respiratory distress syndrome (RDS)?

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Question 48:

A nurse is teaching a client who is pregnant about the risk factors for pre-term labor.

Which of the following statements by the client indicates a need for further teaching?

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Question 49:

A nurse is reviewing the laboratory results of a pre-term newborn who was born at 32 weeks of gestation.

Which of the following values indicates a potential complication of necrotizing enterocolitis (NEC)?

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Question 50:

A nurse is planning care for a pre-term newborn who has a diagnosis of intraventricular hemorrhage (IVH).

Which of the following interventions should the nurse include in the plan?

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Question 51:

A nurse is caring for a pre-term newborn who has a patent ductus arteriosus (PDA).

Which of the following medications should the nurse expect to administer to close the ductus arteriosus?

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Question 52:

A nurse is evaluating the effectiveness of magnesium sulfate therapy for a client who is in pre-term labor.

Which of the following findings indicates that the therapy is successful?

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Question 53:

A nurse is providing discharge teaching to a client who delivered a pre-term newborn at 34 weeks of gestation.

Which of the following instructions should the nurse include in the teaching?

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Question 54:

A nurse is assessing a pre-term newborn who has retinopathy of prematurity (ROP).

Which of the following manifestations should the nurse expect to observe?

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Question 55:

A nurse is administering betamethasone to a client who is at risk for pre-term labor at 30 weeks of gestation.

Which of the following outcomes should the nurse monitor for in the newborn?

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