A nurse is teaching a client who is at 30 weeks of gestation and has coarctation of the aorta. Which of the following statements should the nurse include regarding this congenital heart defect?

"You will receive terbutaline if you experience preterm labor."

"You will be encouraged to receive epidural anesthesia during labor."

"You will be placed in a supine position during labor."

"You have an increased risk of developing preeclampsia."

Answer and Explanation

The Correct Answer is B

Choice A rationale:

Terbutaline is a medication used to inhibit uterine contractions and is not directly related to managing coarctation of the aorta.

Choice B rationale:

Coarctation of the aorta is a congenital heart defect characterized by narrowing of the aorta, which can lead to increased pressure and decreased blood flow to the lower part of the body. During labor, epidural anesthesia is often recommended for clients with coarctation of the aorta to reduce stress and pain, as well as to maintain stable blood pressure.

Choice C rationale:

Placing a client with coarctation of the aorta in a supine position during labor can worsen the obstruction of blood flow and is contraindicated. Left lateral positioning or other positions that enhance venous return are preferred.

Choice D rationale:

There is no established increased risk of preeclampsia in clients with coarctation of the aorta.

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Correct Answer is C

Explanation

Choice A rationale:

Sparse eyelashes are a common physical characteristic of individuals with Down syndrome and do not typically require immediate notification of the provider.

Choice B rationale:

Cracked skin on feet is not uncommon, and while it may need attention, it does not generally require immediate notification of the provider.

Choice C rationale:

Persistent neck pain in a child with Down syndrome could indicate an underlying issue and should be reported for further evaluation.

Choice D rationale:

Hyperflexibility is a common feature of Down syndrome and does not typically require immediate notification of the provider.

A. Increased thirst B. Decreased secretions C. Flushing of the extremities D. Periods of apnea

Correct Answer is B

Explanation

Choice A rationale:

Increased thirst is a common manifestation during the dying process due to dehydration and reduced fluid intake.

Choice B rationale:

Decreased secretions can occur as the body's systems gradually shut down during the dying process.

Choice C rationale:

Flushing of the extremities, also known as mottling, can occur due to poor circulation as the body's systems shut down.

Choice D rationale:

Periods of apnea or irregular breathing patterns can occur as the body's respiratory system becomes less effective during the dying process.

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A nurse is teaching a client who is at 30 weeks of gestation and has coarctation of the aorta. Which of the following statements should the nurse include regarding this congenital heart defect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a school-age child who has Down syndrome. For which of the following findings should the nurse notify the provider?

Correct Answer is C

Explanation

A nurse is providing teaching about physiological changes that occur during the dying process to the family of a client who has a terminal illness. Which of the following manifestations should the nurse include?

Correct Answer is B

Explanation

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