A nurse is providing education to a client who had pre-term labor and was prescribed indomethacin.

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

“This medication can cause premature closure of your baby’s ductus arteriosus.”

“This medication can increase your risk of postpartum hemorrhage.”

“This medication can cause your baby to have jaundice after birth.”

“This medication can increase your blood pressure during labor.”

Answer and Explanation

The Correct Answer is A

“This medication can cause premature closure of your baby’s ductus arteriosus.”

Indomethacin is a NSAID that can prevent the synthesis of prostaglandins, which are involved in preterm contractions. However, it can also cause constrictive effects on the fetal ductus arteriosus, which can lead to cardiac complications and oligohydramnios. The dosage and duration of indomethacin treatment should be carefully monitored.

Choice B is wrong because indomethacin does not increase the risk of postpartum hemorrhage. In fact, it may reduce the risk of bleeding by inhibiting platelet aggregation.

Choice C is wrong because indomethacin does not cause jaundice in the baby.

Jaundice is caused by high levels of bilirubin in the blood, which can be due to various factors such as blood group incompatibility, infection, or liver problems.

Choice D is wrong because indomethacin does not increase blood pressure during labor. It may actually lower blood pressure by dilating blood vessels.

Normal ranges for indomethacin dosage are 25 to 50 mg orally every 6 hours or 100 mg rectally every 12 hours for up to 48 hours.

Normal ranges for fetal ductus arteriosus diameter are 1.5 to 4 mm before 28 weeks of gestation and 1 to 3 mm after 28 weeks of gestation.

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Correct Answer is C

Explanation

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.

A. Leukocoria (white pupils) B. Strabismus (crossed eyes) C. Nystagmus (involuntary eye movements) D. All of the above

Correct Answer is A

Explanation

Leukocoria (white pupils) is a symptom of retinopathy of prematurity (ROP), an eye disease that can happen in premature babies.ROP happens when abnormal blood vessels grow on the retina, the light-sensitive layer of tissue in the back of the eye.

Choice B is wrong because strabismus (crossed eyes) is not a symptom of ROP, but a possible complication that can occur later in life.

Choice C is wrong because nystagmus (involuntary eye movements) is not a symptom of ROP, but another possible complication that can occur later in life.

Choice D is wrong because it includes choices B and C, which are incorrect.

Normal ranges for gestational age and birth weight are 38 to 42 weeks and 5.5 to 10 pounds, respectively.Babies born before 31 weeks or weighing less than 3 pounds are at risk for ROP.

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A nurse is providing education to a client who had pre-term labor and was prescribed indomethacin. Which of the following information should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is C

Explanation

A nurse is assessing a pre-term newborn who has retinopathy of prematurity (ROP). Which of the following manifestations should the nurse expect to observe?

Correct Answer is A

Explanation

A nurse is assessing a pre-term newborn who was born at 28 weeks of gestation. Which of the following findings indicates a possible diagnosis of respiratory distress syndrome (RDS)?

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 preparing to administer betamethasone (Celestone) to a client who is at 31 weeks of gestation and has pre-term labor. What is the purpose of this medication?

A nurse is teaching a client who is at risk for pre-term labor about the signs and symptoms to report to the provider. Which of the following should the nurse include in the teaching?

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 reviewing the medication history of a client who is in pre-term labor and has a history of peptic ulcer disease. The nurse should recognize that which of the following medications is contraindicated for this client?

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 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 nurse is providing education to a client who had pre-term labor and was prescribed indomethacin.

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