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
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 D
Explanation
All of the above.
Respiratory distress syndrome (RDS) is a condition that affects preterm newborns who have immature lungs and lack sufficient surfactant.
Surfactant is a substance that helps keep the alveoli open and prevents them from collapsing.
Without enough surfactant, the newborn has difficulty breathing and may develop hypoxia and acidosis.
Choice A is wrong because tachypnea and grunting are signs of respiratory distress, but they are not specific to RDS.
They can also be caused by other conditions such as transient tachypnea of the newborn, pneumonia, or congenital heart defects.
Choice B is wrong because bradycardia and cyanosis are also signs of respiratory distress, but they are not specific to RDS.
They can also be caused by other conditions such as hypothermia, hypoglycemia, or sepsis.
Choice C is wrong because apnea and nasal flaring are also signs of respiratory distress, but they are not specific to RDS.
They can also be caused by other conditions such as intracranial ...
Correct Answer is A
Explanation
Amniotic fluid index of 4 cm indicates oligohydramnios, which means too little amniotic fluid.This can cause fetal growth restriction, cord compression, and congenital anomalies.
Choice B is wrong because amniotic fluid index of 8 cm is within the normal range of 5 to 25 cm.
Choice C is wrong because amniotic fluid index of 12 cm is also within the normal range and close to the median value of 14 cm.
Choice D is wrong because amniotic fluid index of 16 cm is also within the normal range and does not indicate oligohydramnios.
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