A nurse is assisting in the care of a client who is in labor and whose membranes ruptured 6 hr ago. Which of the following is an appropriate nursing intervention for this client?

Monitor for infection.

Position the client supine.

Obtain consent for a cesarean birth.

Prepare for a forceps delivery.

Answer and Explanation

The Correct Answer is A

A)   Correct - Monitoring for infection is an appropriate nursing intervention for a client whose membranes have ruptured, as there is an increased risk of infection after the amniotic sac has ruptured for an extended period.
B)   Incorrect- Positioning the client supine is not generally recommended for a client in labor, especially if the client's membranes have ruptured.
C)   Incorrect- Obtaining consent for a cesarean birth is not indicated solely based on the information provided.
D)   Incorrect- Preparing for a forceps delivery is not indicated solely based on the information provided.

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Correct Answer is C

Explanation

A) Incorrect- Terbutaline is a tocolytic medication used to relax uterine muscles and inhibit contractions, not to treat an ectopic pregnancy.
B) Incorrect- Magnesium sulfate is used to prevent seizures in clients with preeclampsia, not to treat ectopic pregnancies.
C) Correct - Methotrexate is often used to treat unruptured ectopic pregnancies in the early stages by inhibiting the growth of trophoblastic tissue.
D) Incorrect- Calcium gluconate is used to treat magnesium toxicity and other conditions related to calcium imbalance, not to treat ectopic pregnancies.

A. "Place your baby in the bassinet in your room by the bed when you use the bathroom." B. "Make sure anyone caring for or transporting your baby is wearing an identification badge." C. "Carry your baby in your arms when you go for a walk in the hallway." D. "If your baby's identification band slips off place it in the drawer of the bassinet

Correct Answer is B

Explanation

A) Incorrect- While placing the baby in the bassinet in the room is a good practice, it may not be sufficient to prevent abduction.
B) Correct - Ensuring that anyone caring for or transporting the baby is wearing an identification badge helps confirm their authorized status to handle the baby.
C) Incorrect- Carrying the baby in the arms is a safe practice, but it doesn't specifically address preventing abduction.
D) Incorrect- Placing the identification band in the bassinet drawer is not a recommended practice, as it can potentially lead to confusion or misidentification.

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A nurse is assisting in the care of a client who is in labor and whose membranes ruptured 6 hr ago. Which of the following is an appropriate nursing intervention for this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting in the care of a client who is experiencing an unruptured ectopic pregnancy that is at 8 weeks of gestation. Which of the following medications should the nurse expect the provider to prescribe?

Correct Answer is C

Explanation

A nurse is reinforcing teaching about safety measures for preventing newborn abduction with a client who is postpartum. Which of the following statements should the nurse make?

Correct Answer is B

Explanation

A nurse working on a postpartum unit is collecting data from four clients. Which of the following findings should the nurse report to the provider?

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