A nurse is assisting with the care of a client who is scheduled to receive a dose of dinoprostone.
For which of the following findings should the nurse anticipate a provider's prescription to withhold the dinoprostone?
Terbutaline
FHR
WBC count
Lesions noted
Breech presentation
The Correct Answer is D
A. Terbutaline is typically used to manage preterm labor, not a contraindication for dinoprostone, which is used for labor induction.
B. FHR (Fetal Heart Rate) of 140/min with moderate variability is within normal limits and would not be a reason to withhold dinoprostone.
C. WBC count is within normal limits, indicating no infection, thus not a contraindication for dinoprostone.
D. Lesions noted on vaginal introitus and labia majora could indicate an active Herpes simplex virus infection, which is a contraindication for vaginal delivery due to the risk of neonatal infection.
E. Breech presentation is a concern for delivery method but does not contraindicate the use of dinoprostone for labor induction.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. The Papanicolaou (Pap) test is used to detect abnormal cells on the cervix that could indicate cervical cancer or precancerous changes. It is a screening tool for early detection of cervical cancer and helps prevent the disease from developing.
B. The Pap test does not detect endometriosis. Endometriosis is a condition where tissue similar to the lining of the uterus grows outside the uterus, and it requires different diagnostic methods such as laparoscopy.
C. The Pap test does not allow for the removal of uterine fibroids. Uterine fibroids are diagnosed and managed through other procedures, such as hysteroscopy or surgical removal.
D. The Pap test does not determine ovulation status. Ovulation status is assessed through methods like ovulation predictor kits or monitoring basal body temperature.
Correct Answer is D
Explanation
A. A glucose level of 60 mg/dL is within the normal range for a full-term newborn. Newborns generally have blood glucose levels between 40 and 60 mg/dL in the first few hours of life, and 60 mg/dL is considered acceptable for a 1-day-old newborn.
B. A WBC count of 10,000/mm³ is within the normal range for a newborn. Newborns can have elevated WBC counts due to the stress of birth, and this finding is not immediately concerning.
C. A platelet count of 225,000/mm³ is normal for a full-term newborn. Platelet counts in newborns generally range from 150,000 to 300,000/mm³, so this result falls within the expected range.
D. A hemoglobin level of 9.5 g/dL is low for a 1-day-old newborn. Normal hemoglobin levels for newborns are typically between 14 and 24 g/dL. Low hemoglobin may indicate anemia, which requires further evaluation and management.
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