A nurse is caring for a client who is at 32 weeks of gestation and is in labor. Which of the following medications is contraindicated for this client?

Misoprostol

Folic acid

Nifedipine

Terbutaline sulfate

Answer and Explanation

The Correct Answer is A

Choice A rationale: Misoprostol is a prostaglandin analog and is contraindicated for use during labor at 32 weeks of gestation as it can lead to uterine hyperstimulation, which may pose a risk to the preterm fetus.
Choice B rationale: Folic acid is a vitamin supplement and is not contraindicated during labor. However, it is typically taken earlier in pregnancy to prevent neural tube defects.
Choice C rationale: Nifedipine is a calcium channel blocker that may be used to suppress preterm labor, and it is not contraindicated at 32 weeks of gestation.
Choice D rationale: Terbutaline is a beta-adrenergic agonist that may be used to relax the uterine smooth muscles and inhibit preterm labor. It is not contraindicated at 32 weeks of gestation.

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Correct Answer is ["B","C","E"]

Explanation

Choice A rationale: Keeping the newborn in the center of a large crib is not a specific calming strategy and may not offer the comfort and security that the baby needs.
Choice B rationale: Taking the newborn for a ride in the car can be a calming strategy for some babies. The gentle motion and humming sound of the car can help soothe the baby.
Choice C rationale: Carrying the newborn in a front or backpack can provide comfort and security to the baby. The closeness to the parent's body and the rhythmic movement can help calm the baby.
Choice D rationale: Allowing the newborn to continue crying until she falls asleep is not a recommended strategy. Responding to the baby's cries and providing comfort and soothing is essential for the baby's emotional well-being.
Choice E rationale: Swaddling the newborn in a receiving blanket can help mimic the feeling of being in the womb, providing comfort and security to the baby. It can also prevent the startle reflex and promote better sleep.

Correct Answer is ["89.722"]

Explanation

To convert ounces to milliliters, we use the conversion factor: 1 oz = 29.5735 mL

0.5 oz = 0.5 * 29.5735 = 14.7868 mL (0800 feedings)

1 oz = 1 * 29.5735 = 29.5735 mL (1100 feeding)

0.5 oz = 0.5 * 29.5735 = 14.7868 mL (1300 feeding)

0.5 oz = 0.5 * 29.5735 = 14.7868 mL (1600 feeding)

0.5 oz = 0.5 * 29.5735 = 14.7868 mL (1830 feeding)

Total intake = 14.7868 + 29.5735 + 14.7868 + 14.7868 + 14.7868 = 89.722 mL

So, the nurse should record 89.722 mL of formula as the client's intake for the shift.

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A nurse is caring for a client who is at 32 weeks of gestation and is in labor. Which of the following medications is contraindicated for this client?

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Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching about strategies to calm a newborn with a client who is postpartum. Which of the following suggestions should the nurse make? (Select all that apply.)

Correct Answer is ["B","C","E"]

Explanation

.A nurse is caring for a newborn who is formula-fed. The newborn takes 0.5 oz of formula at 0800, 1 oz at 1100, 0.5 oz at 1300, 0.5 oz at 1600, and 0.5 oz at 1830. How many mL of formula should the nurse record as the client's intake for the shift?

Correct Answer is ["89.722"]

Explanation

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