A nurse is preparing to administer nifedipine to a client who is in pre-term labor.

The nurse should withhold the medication and notify the provider if the client has which of the following conditions?

Asthma

Diabetes mellitus

Hypertension

Cardiac disease

Answer and Explanation

The Correct Answer is D

Nifedipine is a calcium channel blocker that is used to relax uterine contractions and postpone preterm labor. However, it can also lower blood pressure and cause side effects such as headache, dizziness, flushing, and palpitations. Therefore, it should be avoided in clients who have cardiac disease or other conditions that affect the heart function.

Choice A is wrong because asthma is not a contraindication for nifedipine. Nifedipine does not affect the airways or cause bronchospasm.

Choice B is wrong because diabetes mellitus is not a contraindication for nifedipine. Nifedipine does not affect blood glucose levels or insulin secretion.

Choice C is wrong because hypertension is not a contraindication for nifedipine. In fact, nifedipine can be used to treat high blood pressure as well as preterm labor. However, blood pressure should be monitored closely during nifedipine therapy to avoid hypotension.

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Correct Answer is A

Explanation

Indomethacin is a nonsteroidal anti-inflammatory drug (NSAID) that helps close the ductus arteriosus, a blood vessel connecting two arteries of the heart (aorta and pulmonary artery) in fetus.This drug is effective only among premature babies.

Choice B.Prostaglandin E1 is wrong because it is used to keep the ductus arteriosus open in some congenital heart defects that require surgery.

Choice C.Furosemide is wrong because it is a diuretic that reduces fluid retention and blood pressure, but does not affect the ductus arteriosus.

Choice D.Digoxin is wrong because it is a cardiac glycoside that strengthens the heart muscle contractions and regulates the heart rhythm, but does not affect the ductus arteriosus.

A. “I will drink at least eight glasses of water every day.” B. “I will lie on my back with a pillow under my knees.” C. “I will avoid sexual intercourse until I reach term.” D. “I will call my doctor if I have more than four contractions in an hour.”

Correct Answer is D

Explanation

“I will call my doctor if I have more than four contractions in an hour.” This statement indicates that the client understands the signs of preterm labor and when to seek medical attention.Preterm labor is defined as having regular contractions and cervical changes before 37 weeks of gestation.More than four contractions in an hour may indicate that preterm labor is occurring and requires prompt evaluation.

Choice A is wrong because drinking at least eight glasses of water every day is not a specific instruction for preventing preterm labor.However, dehydration can trigger contractions and should be avoided.

Choice B is wrong because lying on the back with a pillow under the knees can reduce blood flow to the uterus and the baby.This position can also increase the risk of blood clots in the legs.A better position is lying on the left side, which improves circulation and reduces pressure on the cervix.

Choice C is wrong because avoiding sexual intercourse until reaching term is not necessary for most women with a history of preterm labor.Sexual activity does not cause preterm labor or premature rupture of membranes (PROM).However, some women may be advised to abstain from sex if they have certain conditions, such as placenta previa or a short cervix.

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A nurse is preparing to administer nifedipine to a client who is in pre-term labor. The nurse should withhold the medication and notify the provider if the client has which of the following conditions?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a pre-term newborn who has a patent ductus arteriosus (PDA). Which of the following medications should the nurse expect to administer to close the ductus arteriosus?

Correct Answer is A

Explanation

A nurse is providing discharge instructions to a client who had pre-term labor at 32 weeks of gestation and was prescribed bed rest at home. Which of the following statements by the client indicates an understanding of the teaching?

Correct Answer is D

Explanation

A nurse is caring for a client who is in pre-term labor. Which of the following maternal complications is most likely to occur due to prolonged bed rest?

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?

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?

A client at 28 weeks of gestation presents with bleeding from the vagina. Which assessment finding should the nurse prioritize?

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 preparing to perform an amniocentesis on a client who is at 27 weeks of gestation and has pre-term labor. Which of the following actions should the nurse take before the procedure?

A nurse is reviewing the history of a client who is at 28 weeks of gestation and has pre-term labor. Which of the following factors increases the risk of pre-term labor?

A nurse is performing a digital examination on a client who is at 34 weeks of gestation and has pre-term labor. Which of the following findings indicates cervical effacement?

A nurse is preparing to administer nifedipine to a client who is in pre-term labor.

The nurse should withhold the medication and notify the provider if the client has which of the following conditions?