A client at 28 weeks' gestation with intact membranes is admitted with the following findings: contractions every 5 minutes lasting 60 seconds, 3 cm dilated, 80% effaced.Which of the following medications will the obstetrician likely order?

Magnesium sulfate.

Morphine sulfate.

Terbutaline.

Betamethasone.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Magnesium sulfate is primarily used for neuroprotection in preterm infants and to prevent seizures in severe preeclampsia, not as a first-line tocolytic for preterm labor.

Choice B rationale

Morphine sulfate is an opioid analgesic used for pain management, not for inhibiting preterm labor contractions.

Choice C rationale

Terbutaline is a beta-agonist used as a tocolytic to relax uterine muscles and delay preterm labor. It helps decrease the intensity and frequency of contractions, making it suitable for managing preterm labor.

Choice D rationale

Betamethasone is a corticosteroid used to accelerate fetal lung maturity in preterm labor, not for direct contraction inhibition.

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Correct Answer is D

Explanation

Choice A rationale

Numbness in the toes and heel might suggest nerve involvement but is not a typical sign of deep vein thrombosis (DVT), which involves the veins, not nerves.

Choice B rationale

Pain relieved by dorsiflexion (positive Homan's sign) is not reliable for diagnosing DVT. This symptom is outdated and not considered a definitive sign.

Choice C rationale

Spider-like and purple veins suggest superficial varicose veins, not deep vein thrombosis, which affects deeper veins and presents differently.

Choice D rationale

Swelling, redness, and warmth in the calf are classic signs of DVT due to the inflammation and obstruction of deep veins. These symptoms should prompt immediate medical evaluation and intervention. .

A. Hypertensive disorders. B. Uterine fibroids. C. Cigarette smoking. D. Abdominal trauma. E. Methamphetamine use.

Correct Answer is ["A","B","C","D","E"]

Explanation

Choice A rationale

Hypertensive disorders, such as preeclampsia, increase the risk of placental abruption. They can cause changes in the blood vessels of the placenta, reducing blood flow and increasing the likelihood of separation.

Choice B rationale

Uterine fibroids, which are noncancerous growths in the uterus, can interfere with the proper attachment of the placenta, raising the risk of placental abruption.

Choice C rationale

Cigarette smoking contributes to placental abruption by reducing oxygen supply to the placenta, causing placental insufficiency and increasing the risk of premature separation.

Choice D rationale

Abdominal trauma, such as from a fall or car accident, can cause mechanical disruption of the placenta, leading to abruption.

Choice E rationale

Methamphetamine use can cause vasoconstriction and hypertension, which compromise placental blood flow and increase the risk of abruption.

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A client at 28 weeks' gestation with intact membranes is admitted with the following findings: contractions every 5 minutes lasting 60 seconds, 3 cm dilated, 80% effaced.Which of the following medications will the obstetrician likely order?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

In which of the following situations should a nurse report a possible deep vein thrombosis (DVT)?

Correct Answer is D

Explanation

The nursing staff in a labor and delivery unit has noticed an increase in the number of patients experiencing placental abruption.The nurses begin to review demographics for the patients involved.Which risk factors will the nurses expect? Select all that apply.

Correct Answer is ["A","B","C","D","E"]

Explanation

Which symptom would the nurse expect to observe in a postpartum client with a vaginal hematoma?

The principal risk factor predictive of preterm birth is:

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Postpartum endometritis is:

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