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?

Administer tocolytic medication to stop contractions

Instruct the client to empty her bladder

Obtain informed consent from the client

Monitor fetal heart rate and activity

Answer and Explanation

The Correct Answer is B

Instruct the client to empty her bladder. This is because a full bladder can interfere with the insertion of the needle and increase the risk of injury to the bladder or the uterus. Emptying the bladder also reduces discomfort during the procedure.

Choice A is wrong because administering tocolytic medication to stop contractions is not necessary before amniocentesis. Tocolytic medication can have side effects and should only be used when there is a clear indication of preterm labor.

Choice C is wrong because obtaining informed consent from the client is not a nursing action, but a medical one. The nurse can assist in providing information and answering questions, but the final consent should be obtained by the doctor who will perform the procedure.

Choice D is wrong because monitoring fetal heart rate and activity is not a specific action before amniocentesis, but a routine part of prenatal care. Fetal heart rate and activity can be affected by many factors, such as maternal position, fetal sleep cycle, or maternal blood sugar level.

Monitoring them before amniocentesis does not provide any useful information for the procedure.

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Correct Answer is B

Explanation

It will increase fetal lung maturity.

Betamethasone is a type of corticosteroid that is given to pregnant women who are at risk of preterm delivery between 24 and 34 weeks of gestation.It helps to improve neonatal outcomes by reducing the incidence of respiratory distress syndrome and other complications.Betamethasone works by stimulating the production and release of surfactant, a substance that lubricates the lungs and prevents them from collapsing when the baby breathes.

Choice A is wrong because betamethasone does not affect maternal blood pressure.

Choice C is wrong because betamethasone does not reduce uterine contractions.

Choice D is wrong because betamethasone does not prevent neonatal infection.

A. Regular uterine contractions occurring every 15 minutes B. Low back pain and pelvic pressure C. Change in vaginal discharge D. Rupture of membranes

Correct Answer is A

Explanation

Regular uterine contractions occurring every 15 minutes.

This finding suggests that the client may have placental abruption, which is a serious complication that requires immediate medical attention.Placental abruption is the premature separation of the placenta from the uterine wall, which can cause heavy bleeding, pain, and fetal distress.

Choice B is wrong because low back pain and pelvic pressure are common symptoms of preterm labor, which is not as urgent as placental abruption.

Choice C is wrong because a change in vaginal discharge is not a specific sign of any complication and may be normal in pregnancy.

Choice D is wrong because rupture of membranes is not a priority finding in this case, unless it is associated with infection or cord prolapse.

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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?

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Naxlex Comprehensive Predictor Exams

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?

Correct Answer is B

Explanation

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

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?

A nurse is reviewing the laboratory results of a client who is in pre-term labor and has received indomethacin. Which of the following findings should the nurse monitor for as a potential complication of the medication?

A nurse is educating a client who is at risk for pre-term labor about measures to prevent it from occurring. Which of the following instructions should the nurse include?

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

A nurse is assessing a client for pre-term labor. Which diagnostic test should the nurse anticipate being ordered for this client?

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?

A nurse is caring for a client who is at 32 weeks of gestation and has signs of pre-term labor. Which of the following tests should the nurse anticipate to confirm ROM?

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 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?