A nurse is planning discharge teaching for a client who is at 25 weeks of gestation and has pre-term labor that was successfully stopped with tocolytic therapy.

Which of the following instructions should the nurse include in the teaching?

Avoid sexual intercourse until term

Drink at least 3 L of fluids per day

Report any increase in vaginal discharge to the provider

Perform pelvic floor exercises daily

Answer and Explanation

The Correct Answer is C

Report any increase in vaginal discharge to the provider. This is because an increase in vaginal discharge can indicate an infection, which can trigger preterm labor or cause complications for the mother and the baby.

Choice A is wrong because sexual intercourse is not contraindicated for women who have preterm labor that was successfully stopped with tocolytic therapy, unless they have other risk factors such as placenta previa or ruptured membranes.

Choice B is wrong because drinking at least 3 L of fluids per day is not necessary for women who have preterm labor that was successfully stopped with tocolytic therapy, unless they have dehydration or oligohydramnios.

Choice D is wrong because pelvic floor exercises are not recommended for women who have preterm labor that was successfully stopped with tocolytic therapy, as they can increase uterine activity and cause contractions.

Tocolytic therapy is the use of drugs to delay delivery for a short time (up to 48 hours) if a woman begins labor too early in her pregnancy.

The purpose of tocolytic therapy is to allow time for the administration of corticosteroids or other medicine.

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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.

A. Hematocrit 45% B. Platelets 150,000/mm3 C. White blood cell count 25,000/mm3 D. Blood glucose 80 mg/dL

Correct Answer is C

Explanation

White blood cell count 25,000/mm3.

This indicates a potential complication of necrotizing enterocolitis (NEC), which is the death of intestinal tissue in premature or sick newborns.A high white blood cell count can be a sign of infection or inflammation in the bowel, which are common features of NEC.

Choice A is wrong because hematocrit 45% is within the normal range for newborns.

Hematocrit measures the percentage of red blood cells in the blood.

A low hematocrit can indicate blood loss or anemia, which can be complications of NEC, but a normal hematocrit does not rule out NEC.

Choice B is wrong because platelets 150,000/mm3 is also within the normal range for newborns.

Platelets are cells that help the blood clot.A low platelet count can indicate a consumption coagulopathy, which is a bleeding disorder that can occur in severe cases of NEC.

However, a normal platelet count does not exclude NEC.

Choice D is wrong because blood glucose 80 mg/dL is also within the normal range for newborns.

Blood glucose measures the amount of sugar in the blood.

A low blood glucose can indicate hypoglycemia, which can be caused by sepsis or other conditions that mimic NEC, but a normal blood glucose does not eliminate NEC.

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A nurse is planning discharge teaching for a client who is at 25 weeks of gestation and has pre-term labor that was successfully stopped with tocolytic therapy. Which of the following instructions should the nurse include in the teaching?

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Naxlex Comprehensive Predictor Exams

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 reviewing the laboratory results of a pre-term newborn who was born at 32 weeks of gestation. Which of the following values indicates a potential complication of necrotizing enterocolitis (NEC)?

Correct Answer is C

Explanation

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A nurse is planning discharge teaching for a client who is at 25 weeks of gestation and has pre-term labor that was successfully stopped with tocolytic therapy.

Which of the following instructions should the nurse include in the teaching?