A client in pre-term labor is being discharged from the hospital.
What should the nurse include in the client's discharge plan?
Referral to community services for support
Encouragement to smoke in moderation
Instructions for heavy lifting and strenuous exercise
Recommendation to avoid kangaroo care
The Correct Answer is A
A. Referral to community services for support.
A client in preterm labor who is being discharged from the hospital needs to have a discharge plan that includes education, follow-up care, and support services. A referral to community services for support can help the client cope with the stress and anxiety of preterm labor, access resources such as home health care or social workers, and prevent complications or recurrence of preterm labor.
B. Encouragement to smoke in moderation is wrong because smoking is harmful for both the mother and the baby.
Smoking can increase the risk of preterm labor, low birth weight, placental abruption, and sudden infant death syndrome (SIDS). Smoking should be avoided completely during pregnancy and after delivery.
C. Instructions for heavy lifting and strenuous exercise is wrong because these activities can trigger uterine contractions and increase the risk of preterm labor.
A client in preterm labor should rest as much as possible and avoid physical exertion. The client should also avoid sexual intercourse, which can stimulate the cervix and cause bleeding or infection.
D. Recommendation to avoid kangaroo care is wrong because kangaroo care is a method of holding a newborn skin-to-skin with the mother or father.
Kangaroo care can have many benefits for preterm babies, such as improving temperature regulation, breathing, heart rate, feeding, bonding, and growth. Kangaroo care can also reduce stress and pain for both the baby and the parent.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
It will increase fetal lung maturity.
Betamethasone is a type of corticosteroid that is given to pregnant women who are at risk of preterm delivery between 24 and 34 weeks of gestation.It helps to improve neonatal outcomes by reducing the incidence of respiratory distress syndrome and other complications.Betamethasone works by stimulating the production and release of surfactant, a substance that lubricates the lungs and prevents them from collapsing when the baby breathes.
Choice A is wrong because betamethasone does not affect maternal blood pressure.
Choice C is wrong because betamethasone does not reduce uterine contractions.
Choice D is wrong because betamethasone does not prevent neonatal infection.
Correct Answer is B
Explanation
Creatinine clearance.
Indomethacin is a nonsteroidal anti-inflammatory drug (NSAID) that inhibits prostaglandin synthesis and suppresses uterine contractions.However, it can also causerenal failurein the fetus and the mother by reducing renal blood flow and glomerular filtration rate.
Therefore, the nurse should monitor the creatinine clearance, which is a measure of renal function, while the client is receiving this medication.
Choice A is wrong because indomethacin does not affect platelet count or coagulation.
Choice C is wrong because indomethacin does not affect liver function tests.
Choice D is wrong because indomethacin does not affect blood glucose levels.
Normal ranges for creatinine clearance are 88-128 mL/min for women and 97-137 mL/min for men.Normal ranges for platelet count are 150,000-450,000 cells/mm3.
Normal ranges for liver function tests vary depending on the specific test, but some common ones are: alanine aminotransferase (ALT) 7-55 U/L, aspartate aminotransferase (AST) 8-48 U/L, alkaline phosphatase (ALP) 45-115 U/L, total bilirubin 0.1-1.2 mg/dL.
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