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A 26 week G3 P2 has premature rupture of membranes. Which of the following orders would the nurse question?

Temperature q4 hours

Betamethasone 12.5mg q 24 hours × 2.

Apply external fetal monitor to assess contractions and fetal well-being.

Vaginal exam q 2 hours for labor progress.

Answer and Explanation

The Correct Answer is D

A. Regular temperature checks monitor for infection.

B. Betamethasone promotes fetal lung maturity.

C. Fetal monitoring is standard for assessing wellbeing.

D. Frequent vaginal exams increase infection risk and should be minimized

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Correct Answer is C

Explanation

A. 3 lbs per week is too high for someone with a BMI of 16 and could lead to excessive weight gain.

B. 35-40 lbs is too broad and may not be suitable for this patient's low BMI, which typically requires a more controlled approach.

C. For a patient with a BMI of 16 (underweight), the recommended weight gain during pregnancy is generally between 28-40 pounds, but given the patient's lower weight, 15-20 lbs is a realistic goal for weight gain, allowing for healthy fetal development.

D. Less than 1lb per week could be too slow, potentially leading to insufficient fetal growth.

A. Fundal tone B. Lochia C. Transcutaneous bilirubin D. Engorgement E. Vital Signs F. Bladder distension

Correct Answer is ["A","B","E","F"]

Explanation

A. Fundal tone assessment helps detect uterine atony.

B. Lochia assessment monitors postpartum bleeding.

C. Transcutaneous bilirubin is not assessed in the immediate postpartum period.

D. Engorgement relates to breastfeeding and is not a priority in the fourth stage.

E. Vital signs are crucial to monitor for hemorrhage or shock.

F. Bladder distension can affect uterine contraction and bleeding.

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A 26 week G3 P2 has premature rupture of membranes. Which of the following orders would the nurse question?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Explanation

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