A nurse is providing discharge teaching to a client who delivered a pre-term newborn at 34 weeks of gestation.

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

Avoid breastfeeding until the newborn reaches term gestation

Use an apnea monitor at home as prescribed

Keep the newborn in a warm environment at all times

Delay immunizations until the newborn reaches term gestation.

Answer and Explanation

The Correct Answer is B

Pre-term newborns are at risk of apnea of prematurity, which is a pause in breathing for more than 20 seconds or less than 20 seconds with bradycardia or cyanosis. An apnea monitor can detect and alert the parents of any episodes of apnea and help them intervene promptly.

Choice A is wrong because breastfeeding is beneficial for pre-term newborns and can provide them with antibodies, nutrients, and bonding with the mother. Breastfeeding should be encouraged as soon as the newborn is medically stable and able to suck and swallow.

Choice C is wrong because keeping the newborn in a warm environment at all times can lead to overheating, dehydration, and increased metabolic rate. Pre-term newborns have difficulty regulating their body temperature and need to be dressed appropriately for the ambient temperature. They should also be monitored for signs of cold stress or heat stress.

Choice D is wrong because delaying immunizations until the newborn reaches term gestation can expose the newborn to preventable infections that ...

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Correct Answer is B

Explanation

A cervical cerclage is a procedure that involves placing stitches around the cervix to prevent it from opening prematurely.This procedure is usually done for women who have a history of cervical insufficiency or a short cervix, which are risk factors for preterm labor.

Choice A is wrong because history of gestational diabetes is not a risk factor for preterm labor.

Gestational diabetes is a condition that causes high blood sugar during pregnancy and can affect the health of the mother and the baby, but it does not increase the risk of preterm labor.

Choice C is wrong because history of recurrent urinary tract infections (UTIs) is a risk factor for preterm labor.

UTIs are infections that affect the urinary system and can cause symptoms such as pain, burning, or frequent urination.

UTIs can also spread to the kidneys or the uterus and cause inflammation or infection that can trigger preterm labor.

Choice D is wrong because history of assisted reproductive technology (ART) is a risk factor for preterm labor.

ART refers to any medical procedure that helps with conception, such as in vitro fertilization (IVF).

ART can increase the risk of preterm labor because it can result in multiple gestations (twins, triplets, or more), which put more strain on the uterus and can cause it to contract prematurely.ART can also cause complications such as placenta previa or rupture of the uterus, which can lead to preterm labor.

A. Betamethasone B. Magnesium sulfate C. Nifedipine D. Indomethacin

Correct Answer is A

Explanation

Betamethasone is a corticosteroid that is given to pregnant women who are at risk of preterm delivery to enhance fetal lung maturity and prevent respiratory distress syndrome.It is usually given in two doses, 24 hours apart, and takes effect within 24 hours of administration.

Choice B.Magnesium sulfate is wrong because it is used to prevent seizures in women with severe preeclampsia or eclampsia, not to prevent respiratory distress syndrome.

Choice C.Nifedipine is wrong because it is a calcium channel blocker that is used to inhibit uterine contractions and prolong pregnancy in women with preterm labor, not to prevent respiratory distress syndrome.

Choice D.Indomethacin is wrong because it is a nonsteroidal anti-inflammatory drug that is used to inhibit prostaglandin synthesis and reduce uterine activity in women with preterm labor, not to prevent respiratory distress syndrome.However, it can also cause premature closure of the ductus arteriosus in the fetus and should be avoided after 32 weeks of gestation.

Normal ranges for gestational age are 37 to 42 weeks.

Preterm labor is defined as regular uterine contractions with cervical changes.

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A nurse is providing discharge teaching to a client who delivered a pre-term newborn at 34 weeks of gestation. Which of the following instructions should the nurse include in the teaching?

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Correct Answer is A

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A nurse is providing discharge teaching to a client who delivered a pre-term newborn at 34 weeks of gestation.

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