A nurse is providing education to a client and her partner about pre-term labor.

Which intervention should the nurse include in the teaching plan to address possible outcomes and complications?

Administering intravenous fluids

Administering tocolytics

Administering corticosteroids

Providing emotional support

Answer and Explanation

The Correct Answer is C

Corticosteroids are given to pregnant women who are at risk of preterm labor to help mature the lungs of the fetus and reduce the risk of respiratory distress syndrome and other complications. Corticosteroids also have a protective effect on the brain and reduce the risk of bleeding and cerebral palsy.

Choice A is wrong because administering intravenous fluids is not a specific intervention to address possible outcomes and complications of preterm labor. Intravenous fluids may be given to correct dehydration or electrolyte imbalance, but they do not prevent or treat preterm labor.

Choice B is wrong because administering tocolytics is an intervention to delay preterm labor, not to address possible outcomes and complications.

Tocolytics are drugs that inhibit uterine contractions and prolong pregnancy for a short period of time, usually 24 to 48 hours, to allow for the administration of corticosteroids or the transfer of the mother to a facility with neonatal intensive care.

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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. The client reports decreased uterine contractions B. The client’s blood pressure decreases to within normal limits C. The client’s deep tendon reflexes are 2+ D. The client’s urine output increases to more than 30 mL/hr

Correct Answer is A

Explanation

Magnesium sulfate is a tocolytic drug that inhibits uterine activity and relaxes smooth muscles.The goal of magnesium sulfate therapy for a client who is in pre-term labor is to stop or reduce the frequency and intensity of contractions.

Choice B is wrong because the client’s blood pressure decreases to within normal limits.

Magnesium sulfate is not an antihypertensive drug and does not lower blood pressure.It is used to prevent seizures in clients with preeclampsia or eclampsia.

Choice C is wrong because the client’s deep tendon reflexes are 2+.

This is a normal finding and does not indicate the effectiveness of magnesium sulfate therapy.A decrease or loss of deep tendon reflexes may indicate magnesium toxicity, which is a serious complication that requires immediate intervention.

Choice D is wrong because the client’s urine output increases to more than 30 mL/hr.

This is also a normal finding and does not indicate the effectiveness of magnesium sulfate therapy.A decrease in urine output may indicate renal impairment or magnesium toxicity, which are both adverse effects of the drug.

The normal range for serum magnesium level is 1.5 to 2.5 mEq/L or 1.8 to 3 mg/dL.The therapeutic range for magnesium sulfate management is 5 to 8 mg/dL.

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A nurse is providing education to a client and her partner about pre-term labor. Which intervention should the nurse include in the teaching plan to address possible outcomes and complications?

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 evaluating the effectiveness of magnesium sulfate therapy for a client who is in pre-term labor. Which of the following findings indicates that the therapy is successful?

Correct Answer is A

Explanation

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 reviewing the laboratory results of a client who is at 29 weeks of gestation and has pre-term labor. Which of the following results indicates an infection that can trigger pre-term labor?

A nurse is teaching a client who is at 27 weeks of gestation and has pre-term labor about the signs and symptoms of true labor versus false labor. Which of the following information should the nurse include in the teaching?

A client in pre-term labor is being discharged from the hospital. What should the nurse include in the client's discharge plan?

A nurse is reviewing the medical record of a client who is at 34 weeks of gestation and has pre-term labor. Which of the following findings is a risk factor for pre-term labor?

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?

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 teaching a client who is at 25 weeks of gestation and has pre-term labor about the purpose and side effects of magnesium sulfate therapy. Which of the following statements by the client indicates an understanding of the teaching?

A nurse is providing education to a client and her partner about pre-term labor.

Which intervention should the nurse include in the teaching plan to address possible outcomes and complications?