A nurse is caring for a pre-term newborn who has a patent ductus arteriosus (PDA).

Which of the following medications should the nurse expect to administer to close the ductus arteriosus?

Indomethacin

Prostaglandin E1

Furosemide

Digoxin

Answer and Explanation

The Correct Answer is A

Indomethacin is a nonsteroidal anti-inflammatory drug (NSAID) that helps close the ductus arteriosus, a blood vessel connecting two arteries of the heart (aorta and pulmonary artery) in fetus. This drug is effective only among premature babies.

Choice B. Prostaglandin E1 is wrong because it is used to keep the ductus arteriosus open in some congenital heart defects that require surgery.

Choice C. Furosemide is wrong because it is a diuretic that reduces fluid retention and blood pressure, but does not affect the ductus arteriosus.

Choice D. Digoxin is wrong because it is a cardiac glycoside that strengthens the heart muscle contractions and regulates the heart rhythm, but does not affect the ductus arteriosus.

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

Explanation

Magnesium sulfate IV infusion can cause various adverse effects such asflushing,headache,nauseaanddrowsiness.

These are common and expected side effects of this medication.

Choice A is wrong because magnesium sulfate IV infusion does not causediarrhea.Diarrhea is a possible side effect of oral magnesium sulfate, which is used as a laxative.

However, oral magnesium sulfate is not used to treat pre-term labor or prevent seizures.

Normal ranges of magnesium in the blood are 1.7 to 2.2 mg/dL for adults.

Magnesium sulfate IV infusion is used to treat hypomagnesemia (low levels of magnesium in the blood) or to prevent seizures in pregnant women with pre-eclampsia, eclampsia or toxemia.

A. To suppress uterine contractions B. To prevent infection C. To promote fetal lung maturity D. To reduce maternal blood pressure

Correct Answer is C

Explanation

To promote fetal lung maturity.Betamethasone (Celestone) is a type of corticosteroid that can help reduce the risk of respiratory distress syndrome and other complications in preterm infants by accelerating the development of their lungs.It is recommended for pregnant women between 24 0/7 weeks and 36 6/7 weeks of gestation who are at risk of preterm delivery within 7 days.

Choice A is wrong because betamethasone does not suppress uterine contractions.

It has no effect on the cause of preterm labor.

Choice B is wrong because betamethasone does not prevent infection.

It may actually increase the risk of infection by suppressing the immune system.

Choice D is wrong because betamethasone does not reduce maternal blood pressure.

It may actually cause hypertension and hyperglycemia as side effects.

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A nurse is caring for a pre-term newborn who has a patent ductus arteriosus (PDA). Which of the following medications should the nurse expect to administer to close the ductus arteriosus?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is monitoring a client who is at 29 weeks of gestation and has pre-term labor. The client is receiving magnesium sulfate IV infusion. Which of the following are expected adverse effects of this medication? (Select all that apply)

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

Explanation

A nurse is preparing to administer betamethasone (Celestone) to a client who is at 31 weeks of gestation and has pre-term labor. What is the purpose of this medication?

Correct Answer is C

Explanation

A nurse is preparing to perform an amniocentesis on a client who is at 27 weeks of gestation and has pre-term labor. Which of the following actions should the nurse take before the procedure?

A nurse is providing education to a client who had pre-term labor and was prescribed indomethacin. Which of the following information should the nurse include in the teaching?

A nurse is caring for a client who is at 32 weeks of gestation and reports lower abdominal cramping. Which of the following actions should the nurse take first?

A nurse is monitoring a client who is receiving terbutaline for pre-term labor. Which of the following findings should the nurse report to the provider as a potential adverse effect of the medication?

A nurse is teaching a client who is at risk for pre-term labor about the signs and symptoms to report to the provider. Which of the following should the nurse include in the teaching?

A client in pre-term labor is being discharged from the hospital. What should the nurse include in the client's discharge plan?

A nurse is caring for a client who is experiencing pre-term labor at 32 weeks of gestation and has been prescribed betamethasone. Which of the following outcomes should the nurse expect from this medication?

A nurse is caring for a pre-term newborn who has a patent ductus arteriosus (PDA).

Which of the following medications should the nurse expect to administer to close the ductus arteriosus?