A newborn who weighs 4300 grams is receiving ampicillin 2mg/kg IV once per day.

The vial reads 20mg/mL. How much will the nurse draw up in the syringe for one dose?

(Enter your answer in numbers only. No units.)

Choice A rationale

Dyspnea, or difficulty breathing, is a serious adverse effect of terbutaline that should be reported to the provider. Terbutaline can cause bronchospasm and pulmonary edema, leading to respiratory distress.

Choice B rationale

Headaches are a common side effect of terbutaline but are not considered a serious adverse effect that requires immediate reporting to the provider.

Choice C rationale

Nervousness is a common side effect of terbutaline and is usually mild. It does not require immediate reporting to the provider unless it becomes severe.

Choice D rationale

Tremors are a common side effect of terbutaline and are usually mild. They do not require immediate reporting to the provider unless they become severe.

Complete the Sentence The priority intervention for the client with preterm premature rupture of membranes is to administer corticosteroids and administer prophylactic antibiotics.

Rationale for correct responses:

1. Administer corticosteroids: This is necessary to promote fetal lung maturity, which is crucial given the gestational age of 34 weeks.
2. Administer prophylactic antibiotics: This helps prevent maternal and fetal infection due to the rupture of membranes.

Rationale for incorrect responses:

1. Initiate tocolytic therapy: This is not the priority as the client is not currently experiencing contractions.
2. Prepare for immediate delivery: Immediate delivery is not indicated unless there are signs of fetal distress or maternal complications.
3. Perform digital cervical examination: This increases the risk of infection and is contraindicated in cases of ruptured membranes.
4. Administer Rh immunoglobulin: This is important but not the primary immediate intervention compared to corticosteroids and antibiotics.
5. Discharge the client for outpatient follow-up: This is inappropriate due to the need for close monitoring and prevention of infection.
6. Perform a biophysical profile: While useful, this is not a priority intervention compared to administering corticosteroids and antibiotics.