A nurse is planning to administer misoprostol 50 mcg intravaginally for cervical ripening to a client who is at 40 weeks of gestation. Available is misoprostol 200 mcg tablets. How many tablets should the nurse plan to administer? (Round the answer to the nearest hundredth. Use a leading zero if it applies. Do not use a trailing zero.)
The Correct Answer is ["0.25"]
Desired dose = 50 mcg
Available = 200 mcg per tablet
Number of tablets = Desired dose ÷ Available dose
= 50 ÷ 200
= 0.25 tablets
Answer: 0.25 tablets
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. An amniotic fluid index of 1 cm is abnormally low (oligohydramnios) and indicates potential fetal compromise, so this finding does not reflect fetal well-being.
B. Fetal limb movements are an important indicator of fetal activity and neurological function. Observing four or more discrete limb movements in 30 minutes meets one of the criteria for a reassuring biophysical profile, suggesting the fetus is active and neurologically intact.
C. A nonreactive nonstress test indicates the fetus is not showing adequate heart rate accelerations in response to movement, which can signal potential hypoxia or fetal compromise.
D. Sustained fetal breathing movements of 20 seconds in 30 minutes are desirable, but the minimum standard for the BPP is usually one or more episodes of 30 seconds within 30 minutes; 20 seconds alone may not meet the threshold, making limb movements a more reliable indicator in this scenario.
Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"B"},"E":{"answers":"B"},"F":{"answers":"A"},"G":{"answers":"A"},"H":{"answers":"B"}}
Explanation
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"Your baby needs to be repositioned every 2 to 3 hours while under the lights." |
✅ |
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"Your baby's eyes will be covered with an eye shield during therapy." |
✅ |
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"Avoid applying lotion to your baby's skin." |
✅ |
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"Keep a hat on your baby during treatment." |
✅ |
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"We will give your baby glucose water between breast feedings. |
✅ |
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"Bilirubin is primarily excreted through the stool." |
✅ |
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The treatment lights can cause a transient skin rash on your baby." |
✅ |
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The treatment lights emit a significant amount of ultraviolet radiation. |
✅ |
- Repositioning every 2 to 3 hours exposes different skin areas to light, enhancing bilirubin breakdown and preventing pressure sores.
- Eye shields protect the newborn’s eyes from damage caused by bright phototherapy lights.
- Avoiding lotion prevents skin irritation or burns and ensures effective light penetration during treatment.
- Keeping a hat on blocks light exposure to the scalp, reducing the effectiveness of phototherapy.
- Glucose water is not recommended; feeding with breast milk or formula helps promote bilirubin elimination through stools.
- Bilirubin is mainly excreted through the stool after being converted into a water-soluble form by phototherapy.
- Phototherapy can cause a mild, temporary rash, which is harmless but important to inform parents about.
- Phototherapy lights emit blue light, not harmful ultraviolet radiation, making them safe for newborn treatment.
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