A nurse is assessing a client who is in preterm labor and has a new prescription for terbutaline 0.25 mg subcutaneous. For which of the following findings should the nurse withhold the medication and report to the provider?

FHR 120/min

Fasting blood glucose 75 mg/dL

Urinary output 40 ml/hr

BP 88/58 mm Hg

Answer and Explanation

The Correct Answer is D

The nurse should withhold the terbutaline and report to the provider if the client's blood pressure is 88/58 mm Hg. Terbutaline can cause hypotension, and a blood pressure reading in this range indicates the client is already experiencing low blood pressure. The provider may need to adjust the medication dosage or consider an alternative medication.

The other findings are within normal ranges and would not require withholding the medication or reporting to the provider:

Fasting blood glucose of 75 mg/dL is within the normal range.

FHR of 120/min is within the normal fetal heart rate range.

Urinary output of 40 ml/hr is within normal range, although it should be monitored for any signs of decreased urine output as this could indicate dehydration.

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Correct Answer is C

Explanation

A newborn who was exposed to cocaine in utero may exhibit a high-pitched cry as a result of central nervous system irritability. Other possible findings may include hypertonicity, exaggerated startle response, and decreased head circumference. Hypotonicity is not a typical finding in a newborn exposed to cocaine in utero.

A. Macrosomia B. Cataracts C. Urinary tract infection D. Hearing loss

Correct Answer is D

Explanation

Cytomegalovirus (CMV) is a viral infection that can cause serious health problems for newborns if acquired in utero. Some newborns may appear asymptomatic at birth but later develop complications such as hearing loss, intellectual disability, and vision problems. The virus can be transmitted through bodily fluids such as saliva, urine, and breast milk, and can be especially dangerous for premature infants or those with weakened immune systems. While macrosomia (large body size) and urinary tract infections are possible complications in newborns, they are not typically associated with CMV. Cataracts may also occur in infants with congenital CMV, but hearing loss is a more common complication.

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A nurse is assessing a client who is in preterm labor and has a new prescription for terbutaline 0.25 mg subcutaneous. For which of the following findings should the nurse withhold the medication and report to the provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a newborn who was exposed to cocaine in utero. Which of the following findings should the nurse expect?

Correct Answer is C

Explanation

A nurse is assessing a newborn whose mother had a primary cytomegalovirus (CMV) infection during pregnancy. The newborn acquired CMV transplacentally. Which of the following findings should the nurse expect the newborn to exhibit?

Correct Answer is D

Explanation

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