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 C

Explanation

Choice A rationale:
Maternal serum alpha-fetoprotein (MSAFP) determination is not used to screen for ABO incompatibility. It is specifically used to screen for certain fetal abnormalities.
Choice B rationale:
MSAFP determination is not used to screen for gestational diabetes. It is primarily used for detecting certain fetal abnormalities.
Choice C rationale:
The MSAFP test is a prenatal screening test that measures the level of alpha-fetoprotein in the mother's blood. Abnormal levels of alpha-fetoprotein may indicate a neural tube defect, such as spina bifida, or other chromosomal abnormalities.
Choice D rationale:
MSAFP determination is not used to screen for fetal maturity. It is used to assess the risk of certain fetal abnormalities.

A. Uterine enlargement greater than expected for gestational age B. Copious vaginal bleeding C. Severe nausea and vomiting D. Pelvic pain

Correct Answer is D

Explanation

Choice A rationale:
Uterine enlargement greater than expected for gestational age is not a typical finding in a possible ectopic pregnancy. An ectopic pregnancy occurs when the fertilized egg implants outside the uterus, usually in the fallopian tube, and the uterus does not enlarge normally.
Choice B rationale:
Copious vaginal bleeding is not a typical finding in a possible ectopic pregnancy. Vaginal bleeding can occur, but it is not usually copious.
Choice C rationale:
Severe nausea and vomiting are not typically associated with a possible ectopic pregnancy. Nausea and vomiting are common symptoms in early pregnancy, but they are not specific to an ectopic pregnancy.
Choice D rationale:
Pelvic pain is a common finding in a possible ectopic pregnancy. The pain is often sharp, and unilateral, and may be located on one side of the lower abdomen or pelvis.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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