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 D

Explanation

Choice A rationale:
Massaging the area is not recommended because the client's symptoms could indicate a possible deep vein thrombosis (DVT), and massaging could dislodge a clot and cause harm.
Choice B rationale:
Applying cold compresses is not recommended if DVT is suspected, as it could potentially worsen the condition.
Choice C rationale:
Flexing the knee while resting is not recommended if DVT is suspected, as it could potentially worsen the condition and increase the risk of a clot traveling to the lungs (pulmonary embolism).
Choice D rationale:
Elevating the leg can help reduce swelling and improve blood flow. However, the client should still see the provider for further evaluation of possible DVT.

A. The hepatitis B vaccine is monthly until the newborn tests negative for the hepatitis B surface antigen B. Hepatitis B immune globulin and the hepatitis B vaccine within 12 hours of birth C. Hepatitis B immune globulin at 1 week followed by the hepatitis B vaccine monthly for 6 months D. The hepatitis B vaccine at 24 hours followed by hepatitis B immune globulin every 12 hours for 3 days

Correct Answer is B

Explanation

Choice A rationale:

Administering the hepatitis B vaccine monthly until the newborn tests negative for the hepatitis B surface antigen is not the appropriate treatment for a newborn whose mother is positive for the hepatitis B surface antigen. Immediate intervention is required to prevent transmission.
Choice B rationale:

The newborn of a mother who is positive for the hepatitis B surface antigen should receive hepatitis B immune globulin (HBIG) and the hepatitis B vaccine within 12 hours of birth. HBIG provides passive immunity to the baby while the vaccine stimulates active immunity.
Choice C rationale:

Administering hepatitis B immune globulin for 1 week followed by the hepatitis B vaccine monthly for 6 months is not the correct treatment plan. Immediate intervention is necessary to prevent transmission to the newborn.
Choice D rationale:

Administering the hepatitis B vaccine at 24 hours followed by hepatitis B immune globulin every 12 hours for 3 days is not the appropriate treatment. Hepatitis B immune globulin should be given within 12 hours of birth, not over several days.

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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

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Explanation

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Correct Answer is B

Explanation

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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?