A nurse is planning care for a pre-term infant who is in an incubator.

Which of the following interventions should the nurse include to promote bonding between the infant and the parents?

Encourage the parents to touch and talk to the infant through the incubator ports

Limit the parents’ visitation time to prevent overstimulation of the infant

Advise the parents to avoid eye contact with the infant until he is stable

Restrict the parents from holding or feeding the infant until he is discharged.

Answer and Explanation

The Correct Answer is A

Encouraging the parents to touch and talk to the infant through the incubator ports can promote bonding between the infant and the parents. Bonding is the intense attachment that develops between parents and their baby, and it is essential for the baby’s social and cognitive development. Touch and communication are some of the ways that babies bond with their parents.

Choice B is wrong because limiting the parents’ visitation time can disrupt the bonding process and make the parents feel less involved in their baby’s care.

Choice C is wrong because eye contact is another way of bonding with babies, and it can help them feel secure and loved.

Choice D is wrong because holding and feeding the infant are also important ways of bonding, and they should not be restricted unless medically necessary.

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Correct Answer is A

Explanation

A white blood cell count of 12,000/mm3 indicates an infection that can trigger pre-term labor.The normal range for white blood cell count in pregnancy is 5.7-15.0×10 9 /L, which is equivalent to 5,700-15,000/mm3.

A count above this range suggests an inflammatory response to an infection.

Choice B is wrong because a hemoglobin level of 11 g/dL is within the normal range for pregnancy, which is 10-14 g/dL.

Choice C is wrong because a platelet count of 250,000/mm3 is within the normal range for pregnancy, which is 150,000-400,000/mm3.

Choice D is wrong because a blood glucose level of 90 mg/dL is within the normal range for pregnancy, which is 70-110 mg/dL.

A. The client reports decreased uterine contractions B. The client’s blood pressure decreases to within normal limits C. The client’s deep tendon reflexes are 2+ D. The client’s urine output increases to more than 30 mL/hr

Correct Answer is A

Explanation

Magnesium sulfate is a tocolytic drug that inhibits uterine activity and relaxes smooth muscles.The goal of magnesium sulfate therapy for a client who is in pre-term labor is to stop or reduce the frequency and intensity of contractions.

Choice B is wrong because the client’s blood pressure decreases to within normal limits.

Magnesium sulfate is not an antihypertensive drug and does not lower blood pressure.It is used to prevent seizures in clients with preeclampsia or eclampsia.

Choice C is wrong because the client’s deep tendon reflexes are 2+.

This is a normal finding and does not indicate the effectiveness of magnesium sulfate therapy.A decrease or loss of deep tendon reflexes may indicate magnesium toxicity, which is a serious complication that requires immediate intervention.

Choice D is wrong because the client’s urine output increases to more than 30 mL/hr.

This is also a normal finding and does not indicate the effectiveness of magnesium sulfate therapy.A decrease in urine output may indicate renal impairment or magnesium toxicity, which are both adverse effects of the drug.

The normal range for serum magnesium level is 1.5 to 2.5 mEq/L or 1.8 to 3 mg/dL.The therapeutic range for magnesium sulfate management is 5 to 8 mg/dL.

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A nurse is planning care for a pre-term infant who is in an incubator. Which of the following interventions should the nurse include to promote bonding between the infant and the parents?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the laboratory results of a client who is at 29 weeks of gestation and has pre-term labor. Which of the following results indicates an infection that can trigger pre-term labor?

Correct Answer is A

Explanation

A nurse is evaluating the effectiveness of magnesium sulfate therapy for a client who is in pre-term labor. Which of the following findings indicates that the therapy is successful?

Correct Answer is A

Explanation

A nurse is planning care for a pre-term newborn who has a diagnosis of intraventricular hemorrhage (IVH). Which of the following interventions should the nurse include in the plan?

A nurse is admitting a client who is at 30 weeks of gestation and has pre-term labor. Which of the following medications should the nurse anticipate administering to prevent fetal respiratory distress syndrome?

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 assessing a client for pre-term labor. Which assessment finding would be most concerning and require immediate intervention?

A nurse is teaching a client who is pregnant about the risk factors for pre-term labor. Which of the following statements by the client indicates a need for further teaching?

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?

A nurse is admitting a client who is in pre-term labor at 34 weeks of gestation and has ruptured membranes and oligohydramnios. Which of the following actions should the nurse take first?

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 planning care for a pre-term infant who is in an incubator.

Which of the following interventions should the nurse include to promote bonding between the infant and the parents?