A nurse is caring for a client who is 2 weeks postpartum.
The client tells the nurse, "I feel really down and sad lately.
I have no energy and I feel like I'm going to cry.”. Which of the following actions should the nurse take first?

Arrange for counseling to help the client cope with the stress of being a parent.

Request a prescription for an antidepressant medication.

Reinforce teaching about ways to increase rest and sleep.

Use a postpartum depression-screening tool with the client.

Answer and Explanation

The Correct Answer is D

The correct answer is choice d. Use a postpartum depression-screening tool with the client.

Choice A rationale:

Arranging for counseling is important for long-term support, but the first step is to accurately assess the client’s condition using a screening tool.

Choice B rationale:

Requesting a prescription for an antidepressant may be necessary, but it should follow a proper assessment and diagnosis.

Choice C rationale:

Reinforcing teaching about rest and sleep is beneficial, but it does not address the immediate need to assess the severity of the client’s symptoms.

Choice D rationale:

Using a postpartum depression-screening tool is the first step to identify the severity of the client’s symptoms and determine the appropriate course of action.

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Correct Answer is C

Explanation

Choice A rationale:

This test will screen for ABO incompatibility. This statement is inaccurate. Maternal serum alpha-fetoprotein (MSAFP) determination is not used to screen for ABO incompatibility. ABO incompatibility is a different concern that involves the mother's and baby's blood types, and it is not assessed through MSAFP testing.

Choice B rationale:

This test will screen for fetal maturity. MSAFP determination does not assess fetal maturity. The purpose of this test is to screen for specific congenital abnormalities, such as neural tube defects and chromosomal abnormalities, not to determine fetal maturity.

Choice C rationale:

This test will screen for neural tube defects. This is the correct choice. Maternal serum alpha-fetoprotein (MSAFP) determination is primarily used to screen for neural tube defects in the developing fetus. It measures the level of alpha-fetoprotein in the mother's blood, and elevated levels can indicate a higher risk of neural tube defects.

Choice D rationale:

This test will screen for gestational diabetes. MSAFP testing is not used to screen for gestational diabetes. Gestational diabetes is typically screened for through glucose tolerance tests or other specific tests designed to diagnose diabetes during pregnancy.

A. "The purpose of this medication is to boost fetal lung maturity.”. B. "The purpose of this medication is to stop preterm labor contractions.”. C. "The purpose of this medication is to increase the fetal heart rate.”. D. "The purpose of this medication is to halt cervical dilation.”. .

Correct Answer is A

Explanation

A nurse is assisting with the admission of a client who is in preterm labor at 30 weeks of gestation and has a new prescription for betamethasone. Which of the following statements should the nurse make? The correct answer is Choice A: "The purpose of this medication is to boost fetal lung maturity.”.

Choice A rationale:

Betamethasone is a corticosteroid given to pregnant women at risk of preterm delivery to accelerate fetal lung maturation. It promotes the production of surfactant in the fetal lungs, which is essential for preventing respiratory distress syndrome in preterm infants. This statement provides accurate information about the medication's purpose.

Choice B rationale:

Stating that the medication is for stopping preterm labor contractions is incorrect. Betamethasone is not a tocolytic agent used to halt contractions. It is solely administered to enhance fetal lung maturity and has no direct effect on uterine contractions.

Choice C rationale:

Indicating that the medication's purpose is to increase the fetal heart rate is inaccurate. Betamethasone does not affect fetal heart rate. Its primary role is to enhance the development of the fetal lungs to improve the newborn's respiratory function.

Choice D rationale:

Mentioning that the medication is to halt cervical dilation is not correct. Betamethasone is not intended to stop cervical dilation or prevent preterm labor. Its primary function is to prepare the fetal lungs for better functioning after birth.

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A nurse is caring for a client who is 2 weeks postpartum. The client tells the nurse, "I feel really down and sad lately. I have no energy and I feel like I'm going to cry.”. Which of the following actions should the nurse take first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a client who is at 17 weeks of gestation and is scheduled to have a maternal serum alpha-fetoprotein (MSAFP) determination.Which of the following information should the nurse include?

Correct Answer is C

Explanation

A nurse is assisting with the admission of a client who is in preterm labor at 30 weeks of gestation and has a new prescription for betamethasone. Which of the following statements should the nurse make?

Correct Answer is A

Explanation

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A nurse is caring for a client who is 2 weeks postpartum.
The client tells the nurse, "I feel really down and sad lately.
I have no energy and I feel like I'm going to cry.”. Which of the following actions should the nurse take first?