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?

Tachycardia

Hypotension

Hyperglycemia

Hypokalemia

Answer and Explanation

The Correct Answer is D

Terbutaline can cause low potassium levels in the blood, which can lead to muscle weakness, cramps, and cardiac arrhythmias.

This is a potential adverse effect of the medication that should be reported to the provider.

Choice A is wrong because tachycardia is a common side effect of terbutaline that does not usually require medical attention.

Terbutaline works by stimulating beta-adrenergic receptors, which can increase the heart rate.

Choice B is wrong because hypotension is not a typical side effect of terbutaline. Terbutaline can actually cause elevated blood pressure in some cases.

Choice C is wrong because hyperglycemia is not a common side effect of terbutaline. Terbutaline can cause transient hyperglycemia in pregnant women, but this is not a reason to stop the medication.

Normal ranges for potassium are 3.5-5.0 mEq/L and for blood glucose are 70-110 mg/dL.

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Correct Answer is B

Explanation

Lying on one’s back with knees bent while using the monitor is not recommended for women at risk of preterm labor, as it can put pressure on the inferior vena cava, a major vein leading back to the heart.This can cause low blood pressure and reduce blood flow to the uterus and the baby.A better position is to lie on one’s side with a pillow at the back for support.

Choice A is correct because emptying the bladder before applying the monitor can reduce interference from urine contractions and make the readings more accurate.

Choice C is correct because pressing the event marker every time one feels a contraction can help record the frequency and duration of uterine activity.

Choice D is correct because using the monitor for at least 1 hour twice a day can provide sufficient data on uterine contractions and help detect early signs of preterm labor.

A. Referral to community services for support B. Encouragement to smoke in moderation C. Instructions for heavy lifting and strenuous exercise D. Recommendation to avoid kangaroo care

Correct Answer is A

Explanation

A. Referral to community services for support.

Referral to community services for support is an important part of the discharge plan for a client in preterm labor.Community services can provide education, counseling, home visits, and other resources to help the client cope with preterm labor and prevent complications.

B. Encouragement to smoke in moderation.Statement is wrong because smoking is harmful for the unborn baby and can increase the risk of preterm labor.Smoking should be avoided completely during pregnancy and the client should be advised to quit or seek help to quit.

C. Instructions for heavy lifting and strenuous exercise.Statement is wrong because heavy lifting and strenuous exercise can trigger contractions and worsen preterm labor.The client should be instructed to rest as much as possible and avoid activities that may cause uterine irritation or bleeding.

D. Recommendation to avoid kangaroo care.Statement is wrong because kangaroo care, or skin-to-skin contact with the baby, is beneficial for both the mother and the baby after birth.Kangaroo care can help regulate the baby’s temperature, heart rate, breathing, and blood sugar levels, as well as promote bonding, breastfeeding, and infection prevention.The client should be encouraged to practice kangaroo care as soon as possible after delivery.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is B

Explanation

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

Correct Answer is A

Explanation

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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?