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?

Magnesium sulfate

Betamethasone

Indomethacin

Terbutaline

Answer and Explanation

The Correct Answer is C

Indomethacin is contraindicated for this client because it is a nonsteroidal anti-inflammatory drug (NSAID) that can irritate or inflame the lining of the stomach and small intestine. This can worsen the client’s peptic ulcer disease, which is a condition where open sores develop on the inner surface of the stomach or small intestine due to acid erosion.

Indomethacin can also interact with other medications that the client may be taking for pre-term labor or peptic ulcer disease.

Choice A is wrong because magnesium sulfate is not contraindicated for this client. It is a medication that can relax the smooth muscles of the uterus and prevent pre-term labor contractions.

Choice B is wrong because betamethasone is not contraindicated for this client. It is a corticosteroid that can help mature the fetal lungs and reduce the risk of respiratory distress syndrome in pre-term infants.

Choice D is wrong because terbutaline is not contraindicated for this client.

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Correct Answer is A

Explanation

Amniotic fluid index of 4 cm indicates oligohydramnios, which means too little amniotic fluid.This can cause fetal growth restriction, cord compression, and congenital anomalies.

Choice B is wrong because amniotic fluid index of 8 cm is within the normal range of 5 to 25 cm.

Choice C is wrong because amniotic fluid index of 12 cm is also within the normal range and close to the median value of 14 cm.

Choice D is wrong because amniotic fluid index of 16 cm is also within the normal range and does not indicate oligohydramnios.

A. White blood cell count of 12,000/mm3 B. Hemoglobin level of 11 g/dL C. Platelet count of 250,000/mm3 D. Blood glucose level of 90 mg/dL

Correct Answer is A

Explanation

A white blood cell count of 12,000/mm3 indicates an infection that can trigger pre-term labor.The normal range for white blood cell count in pregnancy is 5.7-15.0×10 9 /L, which is equivalent to 5,700-15,000/mm3.

A count above this range suggests an inflammatory response to an infection.

Choice B is wrong because a hemoglobin level of 11 g/dL is within the normal range for pregnancy, which is 10-14 g/dL.

Choice C is wrong because a platelet count of 250,000/mm3 is within the normal range for pregnancy, which is 150,000-400,000/mm3.

Choice D is wrong because a blood glucose level of 90 mg/dL is within the normal range for pregnancy, which is 70-110 mg/dL.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the ultrasound report of a client who is at 31 weeks of gestation and has pre-term labor. Which of the following findings indicates oligohydramnios?

Correct Answer is A

Explanation

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?

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)?

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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 admitting a client who is in pre-term labor at 34 weeks of gestation and has ruptured membranes and oligohydramnios. Which of the following actions should the nurse take first?

A nurse is planning care for a pre-term infant who is in an incubator. Which of the following interventions should the nurse include to promote bonding between the infant and the parents?

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 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 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?