A nurse is assisting with the care of a client who is scheduled to receive a dose of dinoprostone.

Exhibits

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

Answer and Explanation

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.

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Correct Answer is A

Explanation

A. Blurred vision can indicate a prenatal complication, such as preeclampsia, which is a serious condition that can develop in the later stages of pregnancy and requires immediate attention. Preeclampsia can lead to severe health issues for both the mother and baby.
B. Shortness of breath can be a normal part of late pregnancy due to the pressure on the diaphragm from the growing uterus. While it should be monitored, it is not specifically indicative of a complication compared to other symptoms.
C. Non-pitting ankle edema is common in the later stages of pregnancy and is not necessarily a sign of a complication on its own. It can occur due to the increased fluid volume and pressure from the uterus.
D. Leukorrhea, or increased vaginal discharge, is a common and normal finding in pregnancy, especially as labor approaches. It is generally not a sign of a complication unless accompanied by other concerning symptoms.

A. Increase intake of fresh fruits. B. Restrict fluids to 1,000 mL/day. C. Eat dry, bland foods in the morning. D. Take an over-the-counter antacid.

Correct Answer is C

Explanation

A. Increasing fresh fruit intake may not help with morning sickness and could potentially exacerbate nausea if the fruits are acidic or hard to digest. Bland foods are generally better for managing nausea.
B. Restricting fluids is not recommended for managing morning sickness and can lead to dehydration. Adequate hydration is important, and fluids should be taken throughout the day.
C. Eating dry, bland foods in the morning, such as crackers or toast, can help manage morning sickness by settling the stomach before getting out of bed. This is a commonly recommended strategy for alleviating nausea during early pregnancy.
D. Over-the-counter antacids are not the first-line treatment for morning sickness and might not address the underlying cause of nausea. Dietary changes and other non-medication strategies are generally preferred for managing pregnancy-related nausea.

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A nurse is assisting with the care of a client who is scheduled to receive a dose of dinoprostone. Exhibits For which of the following findings should the nurse anticipate a provider's prescription to withhold the dinoprostone?

Nursing Test Bank

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A nurse is assisting with the care of a client who is scheduled to receive a dose of dinoprostone.

Exhibits

For which of the following findings should the nurse anticipate a provider's prescription to withhold the dinoprostone?