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 C

Explanation

This medication will help relax my uterus and stop contractions.

Magnesium sulfate is a tocolytic, a medication used to suppress uterine contractions and delay preterm delivery.The exact mechanism through which magnesium sulfate inhibits contractions is unknown, but researchers believe it likely works by lowering calcium levels in the uterine muscles.

Choice A is wrong because magnesium sulfate is not used to prevent seizures in case of preeclampsia.

Preeclampsia is a condition characterized by high blood pressure and protein in the urine during pregnancy.Magnesium sulfate may be used to treat seizures if they occur with eclampsia, which is a severe complication of preeclampsia.

Choice B is wrong because magnesium sulfate does not help mature the baby’s lungs in case of preterm birth.

Magnesium sulfate may have some neuroprotective effects for the baby, but it does not affect lung development.Steroids are usually given to pregnant women at risk of preterm delivery to help accelerate fetal lung maturation.

Choice D is wrong because magnesium sulfate does not lower blood pressure in case it gets too high.

Magnesium sulfate may have some vasodilatory effects, but it is not used as an antihypertensive agent.Other medications, such as hydralazine or labetalol, are used to treat high blood pressure during pregnancy.

A. Assess the client’s vital signs B. Perform a sterile vaginal exam C. Administer tocolytic medication D. Monitor the fetal heart rate

Correct Answer is A

Explanation

Assess the client’s vital signs.

The nurse should first assess the client’s vital signs to determine the severity of the situation and identify any signs of infection, bleeding, or shock.

The nurse should also monitor the fetal heart rate to assess fetal well-being.

Choice B is wrong because a sterile vaginal exam is not indicated for a client who reports lower abdominal cramping and may increase the risk of infection or rupture of membranes.

Choice C is wrong because administering tocolytic medication is not the first action the nurse should take.

Tocolytic medication may be used to inhibit uterine contractions and prolong pregnancy, but only after assessing the client’s and fetus’s condition and obtaining a prescription from the provider.

Choice D is wrong because monitoring the fetal heart rate is not the first action the nurse should take.

Monitoring the fetal heart rate is important to assess fetal well-being, but it does not take priority over assessing the client’s vital signs.

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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 teaching a client who is at 25 weeks of gestation and has pre-term labor about the purpose and side effects of magnesium sulfate therapy. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is C

Explanation

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?

Correct Answer is A

Explanation

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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 educating a client who is at risk for pre-term labor about measures to prevent it from occurring. Which of the following instructions should the nurse include?

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)

A nurse is evaluating the understanding of a client who is at risk for pre-term labor and has been instructed to perform daily home uterine activity monitoring (HUAM). Which of the following statements by the client indicates a need for further teaching?

A nurse is providing discharge teaching to a client who delivered a pre-term newborn at 34 weeks of gestation. Which of the following instructions should the nurse include in the teaching?

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?