A nurse is assisting with the care of a client who is in early labor with intact membranes and a temperature of 38.9°C (102°F).

After notifying the provider, which of the following actions should the nurse take?

Administer misoprostol vaginally.

Administer acetaminophen orally.

Prepare the client for placement of an intrauterine pressure catheter.

Recheck the client's temperature in 2 hr.

Answer and Explanation

The Correct Answer is B

Acetaminophen can be used to reduce fever during pregnancy.
Choice A is incorrect because misoprostol is not used to treat fever during labor.
Choice C is incorrect because the placement of an intrauterine pressure catheter is not used to treat fever during labor.
Choice D is incorrect because simply rechecking the client’s temperature in 2 hours does not address the issue of the client’s fever.

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Correct Answer is D

Explanation

“Implantation occurs between two and three weeks after conception.” This statement is incorrect because implantation usually occurs about 6 to 10 days after conception.
Choice A is correct because bleeding or spotting can accompany implantation.
Choice B is correct because sperm can remain viable in the woman’s reproductive tract for 2 to 3 days.
Choice C is correct because fertilization typically takes place in the outer third of the fallopian tube.

A. Fortified cereals. B. Milk and cheese. C. Nuts, seeds, and chocolate. D. Carrots, sweet potatoes, and mangoes.

Correct Answer is A

Explanation

Pregnant vegans should ensure they are getting enough vitamin B12, which is essential for the development of the infant’s nervous system.
Vitamin B12 is found almost exclusively in animal products, so vegans should consume fortified foods such as cereals or take a supplement to ensure they are getting enough of this important nutrient.
Choice B, Milk, and cheese, is not correct because it is not vegan.
Choice C, Nuts, seeds, and chocolate, is not correct because it does not address the need for vitamin B12.
Choice D, Carrots, sweet potatoes, and mangoes, is not correct because it does not address the need for vitamin B12.

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A nurse is assisting with the care of a client who is in early labor with intact membranes and a temperature of 38.9°C (102°F). After notifying the provider, which of the following actions should the nurse take?

Nursing Test Bank

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A nurse is assisting with the care of a client who is in early labor with intact membranes and a temperature of 38.9°C (102°F).

After notifying the provider, which of the following actions should the nurse take?