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?

Avoid sexual intercourse until term

Drink at least 2 L of water per day

Lie down when feeling contractions

Take aspirin for pelvic pain

Answer and Explanation

The Correct Answer is B

Drinking enough water can help prevent dehydration, which can trigger preterm labor contractions. Dehydration can also cause low amniotic fluid levels, which can affect fetal growth and development.

Choice A is wrong because avoiding sexual intercourse until term is not necessary for most women at risk for preterm labor. Sexual activity does not cause preterm labor unless there are other complications, such as placenta previa or cervical insufficiency.

Choice C is wrong because lying down when feeling contractions may not stop preterm labor. If a woman has regular contractions that cause cervical change, she should seek medical attention as soon as possible. Lying down may also reduce blood flow to the uterus and placenta, which can affect fetal oxygenation.

Choice D is wrong because taking aspirin for pelvic pain is not recommended for pregnant women. Aspirin can increase the risk of bleeding and affect fetal blood circulation.

Pelvic pain may be a sign of preterm labor or other complications, so it should be evaluated by a health care provider

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Correct Answer is A

Explanation

Ultrasound.

An ultrasound can help determine the gestational age, fetal growth, placental location, and amniotic fluid volume of the fetus.

These factors can affect the risk of pre-term labor and delivery.

An ultrasound can also detect cervical changes that may indicate pre-term labor.

Choice B is wrong because a blood count is not specific for pre-term labor.

It may be done to check for anemia, infection, or other conditions that may affect the pregnancy, but it does not directly assess the risk of pre-term labor.

Choice C is wrong because a urine culture is not specific for pre-term labor.

It may be done to check for urinary tract infection, which can cause pre-term labor, but it does not directly assess the risk of pre-term labor.

Choice D is wrong because an amniocentesis is not usually done for pre-term labor.

It may be done to check for fetal lung maturity, chromosomal abnormalities, or infections, but it is an invasive procedure that carries some risks and complications.

It does not directly assess the risk of pre-term labor.

A. Decreased platelet count B. Increased serum creatinine C. Decreased hematocrit D. Increased serum potassium

Correct Answer is B

Explanation

Indomethacin is a nonsteroidal anti-inflammatory drug (NSAID) that can cause renal impairment and elevated serum creatinine levels in both the mother and the fetus.This can lead to oligohydramnios, reduced fetal urine output, and fetal renal failure.

Therefore, the nurse should monitor the serum creatinine levels of the client and the fetus as a potential complication of indomethacin.

Choice A is wrong because indomethacin does not affect the platelet count.It may increase the risk of bleeding due to its antiplatelet effect, but it does not cause thrombocytopenia.

Choice C is wrong because indomethacin does not cause anemia or decrease the hematocrit.It may cause gastrointestinal bleeding or ulceration, which could lead to anemia, but this is not a common or direct effect of the medication.

Choice D is wrong because indomethacin does not cause hyperkalemia or increase the serum potassium levels.It may cause hyponatremia due to its effect on renal sodium excretion, but it does not affect potassium balance.

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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?

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Naxlex Comprehensive Predictor Exams

A nurse is assessing a client for pre-term labor. Which diagnostic test should the nurse anticipate being ordered for this client?

Correct Answer is A

Explanation

A nurse is reviewing the laboratory results of a client who is in pre-term labor and has received indomethacin. Which of the following findings should the nurse monitor for as a potential complication of the medication?

Correct Answer is B

Explanation

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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?